Adam James Mathers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3412 Issued in NE

Practice address

3900 Dakota Ave Ste 6
South Sioux City, NE 68776-3696

Phone

(402) 494-5173

Fax

(402) 494-5151

NPI assigned

Mar 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1386005775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 DAKOTA AVE STE 6",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763696",
            "telephone_number": "402-494-5173",
            "fax_number": "402-494-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DAKOTA AVE STE 6",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763696",
            "telephone_number": "402-494-5173",
            "fax_number": "402-494-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERS",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Marin Romero
• Jorge Ariel Martinez
• Martha Martinez
• Sahorys Martinez
• Curtis Mastbergen
• Matneys Colonial Manor, Inc.
• Gerald Lou Mayo III, MSW, PLMHP
• Darlakae McGheemahon, FAMILY THERAPIST
• Mary McGowan, ARNP
• Renae McInerney

• Physical Therapist in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.