NPIMap

Organization Active NPI

Adams Physical Therapy Services, Inc.

  • Physical Therapist
  • Portland, IN
National Provider Identifier
1346345287
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05001458A Issued in IN
Legal business name
ADAMS PHYSICAL THERAPY SERVICES, INC.
Practice address
111 W North St
Portland, IN 47371-1153
Phone
(260) 726-6828
Fax
(260) 726-2257
NPI assigned
Sep 14, 2006
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Roy W. Adams, P.T.NPI 1225013873
Title
Owner/President
Phone
(260) 726-6828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05001458A IN Primary

Addresses

Primary practice location

111 W North St
Portland, IN 47371-1153

Mailing address

PO Box 1085
Portland, IN 47371-3185
Phone (260) 726-6828

Other identifiers 4

IdentifierTypeStateIssuer
105382OtherINANTHEM
2329162OtherINOHIO MEDICAID
200154330CMedicaidIN
000000093733OtherINANTHEM BLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000508 IN Part B Supplier - Clinic/Group Practice 4486753258 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Portland, IN; Winchester, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Adams Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 W North St
Portland, IN 47371
Phone (260) 726-6828

955 E Washington St
Winchester, IN 47394
Phone (888) 222-0130

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1346345287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473713185",
            "telephone_number": "260-726-6828",
            "fax_number": "260-726-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W NORTH ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711153",
            "telephone_number": "260-726-6828",
            "fax_number": "260-726-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "260-726-6828",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001458A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "105382",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAID",
            "identifier": "2329162",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200154330C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE SHIELD",
            "identifier": "000000093733",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.