Organization Active NPI

Adam's Therapy Services PLLC

  • Physical Therapist
  • Nacogdoches, TX
National Provider Identifier
1285139444
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADAM'S THERAPY SERVICES PLLC
Practice address
3002 Westward Dr
Nacogdoches, TX 75964-1207
Phone
(936) 305-5104
NPI assigned
Mar 28, 2018
Last updated
Mar 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shane Adam Myatt
Title
Owner
Phone
(936) 305-5104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3002 Westward Dr
Nacogdoches, TX 75964-1207

Mailing address

3002 Westward Dr
Nacogdoches, TX 75964-1207
Phone (936) 305-5104

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1285139444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 WESTWARD DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759641207",
            "telephone_number": "936-305-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 WESTWARD DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759641207",
            "telephone_number": "936-305-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM'S THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "MYATT",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-305-5104"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.