Active NPI
Adam Hutchison, PT, DPT
- Physical Therapist
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05014859A
- Practice address
- 11275 Delaware Pkwy Ste B
Crown Point, IN 46307-7812 - Phone
- (219) 663-8766
- Fax
- (219) 663-8769
- NPI assigned
- May 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017465 | OH | |
| Physical Therapist | 225100000X | 05014859A | IN | Primary |
| Physical Therapist | 225100000X | PT017465 | FL |
Addresses
Primary practice location
11275 Delaware Pkwy Ste B
Crown Point, IN 46307-7812
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Other practice location 1
1348 S 18th St Ste 320A
Fernandina Beach, FL 32034-4785
Phone (904) 557-9021
Other practice location 2
1325 San Marco Blvd Ste 102
Jacksonville, FL 32207-8549
Phone (904) 858-7045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11275 Delaware Pkwy
Suite B
Crown Point, IN 46307-7812
Phone (219) 663-8766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017465 | FL | MD | Physical Therapist |
| 05014859A | IN | MD | Physical Therapist |
| 017465 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Past | Accepting new patients |
Locations
11275 Delaware Pkwy
#B
Crown Point, IN 46307
Phone (219) 304-6074
1805 E Hoffer St
Kokomo, IN 46902
Phone (765) 450-7261
5 Broadway Plz
Peru, IN 46970
Phone (765) 327-2111
3319 Willowcreek Rd
Portage, IN 46368
Phone (574) 544-5434
2502 Calumet Ave
Valparaiso, IN 46383
Phone (219) 280-2034
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 3
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.
-
- Physical Therapist
- Peru, IN
- NPI 1750764494
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Physical Therapist
- Fernandina Beach, FL
- NPI 1942660212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1285125013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11275 DELAWARE PKWY STE B",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077812",
"telephone_number": "219-663-8766",
"fax_number": "219-663-8769"
}
],
"practiceLocations": [
{
"address_1": "1348 S 18th St Ste 320A",
"address_purpose": "LOCATION",
"city": "Fernandina Beach",
"state": "FL",
"postal_code": "320344785",
"country_code": "US",
"telephone_number": "904-557-9021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1325 San Marco Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078549",
"country_code": "US",
"telephone_number": "904-858-7045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHISON",
"first_name": "ADAM",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "017465",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05014859A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT017465",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.