Active NPI
Adam Douglas Kamm, PT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1366779886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.012674
- Practice address
- 4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398 - Phone
- (513) 554-8080
- Fax
- (513) 554-8082
- NPI assigned
- Nov 4, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.012674 | OH | Primary |
Addresses
Primary practice location
4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398
Mailing address
4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398
Phone (513) 554-8080
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000641296 | Other | OH | ANTHEM |
| 3021812 | Medicaid | OH | |
| P01150048 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.012674 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Consultants of Cincinnati, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wellington Orthopaedic & Sports Medicine
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1396792529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1366779886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 CREEK RD",
"address_2": "SUITE 110",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452428398",
"telephone_number": "513-554-8080",
"fax_number": "513-554-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 CREEK RD",
"address_2": "SUITE 110",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452428398",
"telephone_number": "513-554-8080",
"fax_number": "513-554-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMM",
"first_name": "ADAM",
"middle_name": "DOUGLAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.012674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000641296",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3021812",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01150048",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.