Adam Duane Eiseman, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070023502 Issued in IL

Practice address

2004 E Riverside Blvd Lowr Level
Loves Park, IL 61111-4856

Phone

(608) 214-8706

NPI assigned

Aug 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Advanced Rehabilitation Services, LLC

  • Physical Therapist
  • Loves Park, IL
  • NPI 1952968406
  NPD Authorized official
• Bradley C Hirl

  • Physical Therapist
  • Clinton, IA
  • NPI 1295919546
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1326472192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 S OLD 11",
            "city": "ORFORDVILLE",
            "state": "WI",
            "postal_code": "535769610",
            "telephone_number": "608-214-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 E RIVERSIDE BLVD LOWR LEVEL",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114856",
            "telephone_number": "608-214-8706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527324122",
            "country_code": "US",
            "telephone_number": "563-243-4301",
            "fax_number": "563-243-4302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISEMAN",
        "first_name": "ADAM",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12479-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023502",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "005279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dungan, OD
• Norbert C. Duttlinger, M.D.
• Cathy Lynn Dzik, DC
• East Bank Center LLC
• Emily N. Eckerstrom, MD
• Maureen Elick, LCPC
• Chimdindu Okechukwu Emeka-Emeh, MD
• Lowell Dean Enser, M.D.
• Akpevwoghene Victor Erhiano, MD
• Eric Marnul Optometry Inc

• Physical Therapist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.