Brian J Adams, PT, DPT, OCS, CSCS

Individual provider Active NPI Sports Physical Therapist · Novi, MI

NPI 1245367473 · NPPES record last updated Jun 21, 2013

Key facts

NPI
1245367473
Entity type
Individual (NPI type 1)
Primary specialty
Sports Physical Therapist 2251S0007X
License
5501010114 (MI)
Practice address
46001 Grand River Ave
Suite a
Novi, MI 48374-1319
Phone
(248) 513-3003
Fax
(248) 513-3004
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams Sports Medicine and Physical Therapy, P.C. (11 clinicians)

Practice addresses (Care Compare)

46001 Grand River Ave
Suite a
Novi, MI 48374-1319
Phone (248) 513-3003

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130718000164 MI Practitioner - Physical Therapist in Private Practice 6608017595 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 5501010114 MI Yes
Orthopedic Physical Therapist 2251X0800X 5501010114 MI

Addresses

Primary practice location

46001 Grand River Ave
Suite a
Novi, MI 48374-1319

Mailing address

46001 Grand River Ave
Suite a
Novi, MI 48374-1319
Phone (248) 513-3003

Other providers in Novi, MI

All providers in Novi, MI · Sports Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.