Adam St Clair

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606570 Issued in VA

Practice address

250 Merchant Walk Ave Ste 300
Charlottesville, VA 22902-6520

Phone

(434) 328-4900

NPI assigned

Jul 12, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Staunton, VA
  • NPI 1629046867
  NPD (past)

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1447097878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 LINDEN AVE APT Q",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229029022",
            "telephone_number": "540-330-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MERCHANT WALK AVE STE 300",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026520",
            "telephone_number": "434-328-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CLAIR",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avinash Manickam Sridhar, M.D.
• Prakhyath Srikaram, MD
• Nandan Srinivasa
• Selvi Sriranganathan, M.S.
• Madison Sroufe
• Blake St. Louis, DO
• Cynthia A Stabenow, OT
• Mary Beth Stack, NURSE PRACTITIONER
• Sarah S Stadler, M.D.
• Patrick L Stafford, MD

• Physical Therapy Assistant in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.