Brian Matthew Adams, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6541 Issued in NC

Practice address

697 Edgewood Rd
Wilkesboro, NC 28697-9562

Phone

(336) 844-4249

Fax

(336) 844-4819

NPI assigned

Jul 24, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1407056724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1024",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591024",
            "telephone_number": "336-844-4249",
            "fax_number": "336-844-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 EDGEWOOD RD",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286979562",
            "telephone_number": "336-844-4249",
            "fax_number": "336-844-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "6541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1469F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302011",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 'I Can' Pediatric Therapies, LLC
• Accordius Health at Wilkesboro LLC (Ridge Valley Center for Nursing and Rehabilitation)
• Accurim Health Care LLC
• Afterglow Holistic and Primary Care PLLC
• Carla S Alexander, LCSW-P
• Glen Ernest Alford, M.D.
• Donaiel Antuinette Allen, LCMHC-A, NCC
• Alpha Omega Health, Inc

• Pediatric Occupational Therapist in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.