Chesley Hilliary Adams, DPT
Individual provider Active NPI Physical Therapist · Corpus Christi, TX
NPI 1396974150 · NPPES record last updated Mar 9, 2011
Key facts
- NPI
- 1396974150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1172560 (TX)
- Practice address
- 5633 S. Staples Street
Suite 400 & 500
Corpus Christi, TX 78411-4646 - Phone
- (361) 855-1352
- Fax
- (361) 855-1254
- NPI assigned
- Jul 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1172560 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Therapy Center Inc. | Past | Accepting new patients | |
| Legacy Therapy Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1172560 | TX | Yes |
Addresses
Primary practice location
5633 S. Staples Street
Suite 400 & 500
Corpus Christi, TX 78411-4646
Mailing address
4129 Walnut Hills
Corpus Christi, TX 78413-2030
Phone (940) 232-6303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204355601 | Medicaid | TX | |
| 1172560 | Other | TX | PHYSICAL THERAPY LICENSE NUMBER |
Other providers in Corpus Christi, TX
- Erin Renee Adair
- Courtney Allee Adame
- Jewel Adame
- Justin Lee Adame
- Nicholas L. Adame
- Crystal Marie Adams
- Dan Adams
- Tyler Adams
- Aaron Adamson
- Heather Danielle Adamson
All providers in Corpus Christi, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.