Individual provider Active NPI

Daniel Joseph Adels, R.P.T.

  • Physical Therapist
  • Keizer, OR
National Provider Identifier
1376630194
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1285 Issued in OR
Practice address
4953 River Rd N
Keizer, OR 97303-4539
Phone
(503) 393-8741
Fax
(503) 390-6587
NPI assigned
Oct 5, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1285 OR Primary

Addresses

Primary practice location

4953 River Rd N
Keizer, OR 97303-4539

Mailing address

4953 River Rd N
Keizer, OR 97303-4539
Phone (503) 393-8741

Other identifiers 1

IdentifierTypeStateIssuer
178012MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000672 OR Practitioner - Physical Therapist in Private Practice 3072697036 Practice locations: Keizer, OR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4953 River Rd N
Keizer, OR 97303-4539
Phone (503) 393-8741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1285ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376630194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034539",
            "telephone_number": "503-393-8741",
            "fax_number": "503-390-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034539",
            "telephone_number": "503-393-8741",
            "fax_number": "503-390-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELS",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178012",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.