Individual provider Active NPI

Adam W Stickley, PT

  • Orthopedic Physical Therapist
  • Concord, NC
National Provider Identifier
1407807597
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
10483 Issued in NC
Practice address
970 Branchview Dr NE
Suite 160
Concord, NC 28025-2208
Phone
(704) 782-1322
Fax
(704) 786-4752
NPI assigned
May 13, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7221 SC
Orthopedic Physical Therapist 2251X0800X 10483 NC Primary

Addresses

Primary practice location

970 Branchview Dr NE
Suite 160
Concord, NC 28025-2208

Mailing address

154 Amendment Ave Ste 101
Rock Hill, SC 29732-3156
Phone (704) 782-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070710000510 NC Practitioner - Physical Therapist in Private Practice 4082523964 Reassigns benefits to 1 organization
I20160104000285 SC Practitioner - Physical Therapist in Private Practice 4082523964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7221SCMDProfessional Counselor
10483NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Sep 1, 2015 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 25, 2016 Accepting new patients
Matrix Rehabilitation South Carolina, Inc. PastSince Dec 30, 2020 Accepting new patients

Locations

10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351

970 Branchview Dr NE
Ste 160
Concord, NC 28025
Phone (704) 782-1322

870 Gold Hill Rd
Ste 103
Fort Mill, SC 29708
Phone (803) 835-6000

154 Amendment Ave
Ste 101
Rock Hill, SC 29732
Phone (803) 366-9990

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1407807597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 AMENDMENT AVE STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323156",
            "telephone_number": "704-782-1322",
            "fax_number": "704-786-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BRANCHVIEW DR NE",
            "address_2": "SUITE 160",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252208",
            "telephone_number": "704-782-1322",
            "fax_number": "704-786-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLEY",
        "first_name": "ADAM",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7221",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.