Active NPI
Adam P. Artel, P.T.
- Physical Therapist
- Green Bay, WI
National Provider Identifier
1487622130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10558-024
- Practice address
- 1630 Commanche Ave
Green Bay, WI 54313-5753 - Phone
- (920) 430-4700
- Fax
- (920) 430-4747
- NPI assigned
- Mar 9, 2006
- Last updated
- Mar 19, 2018
- 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 Therapist | 225100000X | 10558-024 | WI | Primary |
Addresses
Primary practice location
1630 Commanche Ave
Green Bay, WI 54313-5753
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
Other practice location 1
744 S Webster Ave
Green Bay, WI 54301-3581
Phone (920) 433-7822
Other practice location 2
831 Parker Ave
Algoma, WI 54201-1808
Phone (920) 487-3676
Other practice location 3
311 N 3rd Ave
Sturgeon Bay, WI 54235-2401
Phone (920) 743-0255
Other practice location 4
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40475200 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10558-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1487622130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 COMMANCHE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543135753",
"telephone_number": "920-430-4700",
"fax_number": "920-430-4747"
}
],
"practiceLocations": [
{
"address_1": "744 S Webster Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013581",
"country_code": "US",
"telephone_number": "920-433-7822",
"fax_number": "920-433-3651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "831 Parker Ave",
"address_purpose": "LOCATION",
"city": "Algoma",
"state": "WI",
"postal_code": "542011808",
"country_code": "US",
"telephone_number": "920-487-3676",
"fax_number": "920-487-3084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "311 N 3rd Ave",
"address_purpose": "LOCATION",
"city": "Sturgeon Bay",
"state": "WI",
"postal_code": "542352401",
"country_code": "US",
"telephone_number": "920-743-0255",
"fax_number": "920-743-6680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3263 Eaton Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543116830",
"country_code": "US",
"telephone_number": "920-433-6700",
"fax_number": "920-433-6719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARTEL",
"first_name": "ADAM",
"middle_name": "P.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10558-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40475200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.