Individual provider Active NPI

Adam Robert Storms Pharr, PTA

  • Physical Therapy Assistant
  • Clarkston, MI
National Provider Identifier
1477448843
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502004765 Issued in MI
Practice address
5896 Dixie Hwy Ste B
Clarkston, MI 48346-4503
Phone
(248) 461-6594
Fax
(248) 461-6594
NPI assigned
Jun 9, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502004765 MI Primary

Addresses

Primary practice location

5896 Dixie Hwy Ste B
Clarkston, MI 48346-4503

Mailing address

5896 Dixie Hwy Ste B
Clarkston, MI 48346-4503
Phone (248) 895-6966

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

LicenseStateTypeSpecialty
5502004765MIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy & Sports Performance PLLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

5896 Dixie Hwy
Ste B
Clarkston, MI 48346
Phone (248) 461-6594

Organizations & group practices 1

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1477448843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5896 DIXIE HWY STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464503",
            "telephone_number": "248-895-6966",
            "fax_number": "248-461-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5896 DIXIE HWY STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464503",
            "telephone_number": "248-461-6594",
            "fax_number": "248-461-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARR",
        "first_name": "ADAM",
        "middle_name": "ROBERT STORMS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.