Active NPI
Adam Michael Dortman, PTA
- Physical Therapy Assistant
- Ridley Park, PA
National Provider Identifier
1427236322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE0024346
- Practice address
- 105 Morton Ave
Ridley Park, PA 19078 - Phone
- (610) 521-1331
- NPI assigned
- Feb 4, 2008
- Last updated
- Feb 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE0024346 | PA | Primary |
Addresses
Primary practice location
105 Morton Ave
Ridley Park, PA 19078
Mailing address
27 Katie Way
West Chester, PA 19380
Phone (610) 738-9262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE0024346 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1427236322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 KATIE WAY",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "19380",
"telephone_number": "610-738-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MORTON AVE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "19078",
"telephone_number": "610-521-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORTMAN",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE0024346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.