Individual provider Active NPI

Nathaniel Adcock

  • Physical Therapist
  • Allentown, PA
National Provider Identifier
1417569351
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028571 Issued in PA
Practice address
1925 W Turner St
Allentown, PA 18104-5513
Phone
(610) 794-5075
NPI assigned
Aug 21, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20201209000832 PA Practitioner - Physical Therapist in Private Practice 7113339540 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028571PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Jun 16, 2022 Accepting new patients
Cip Rehabilitation Inc Physical Therapist CurrentSince Aug 11, 2022 Accepting new patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Jun 16, 2022 Accepting new patients

Locations

4948 Pennell Rd
Aston, PA 19014
Phone (610) 494-8730

64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578

1300 N Charlotte St
Ste 14A
Pottstown, PA 19464
Phone (484) 752-4372

5 Kugler Rd
#107
Royersford, PA 19468
Phone (484) 791-3104

4301 Penn Ave
Sinking Spring, PA 19608
Phone (610) 927-4136

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT028571 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1925 W Turner St
Allentown, PA 18104-5513

Mailing address

536 Main St # B
East Greenville, PA 18041-1342
Phone (815) 993-7495

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2020.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1417569351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 MAIN ST # B",
            "city": "EAST GREENVILLE",
            "state": "PA",
            "postal_code": "180411342",
            "telephone_number": "815-993-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W TURNER ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045513",
            "telephone_number": "610-794-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.