Individual provider Active NPI

Debra Adams, PT

  • Physical Therapist
  • North Kingstown, RI
National Provider Identifier
1568622306
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
467 Issued in RI
Practice address
610 Ten Rod Rd
Box 4
North Kingstown, RI 02852-4236
Phone
(401) 295-9767
Fax
(401) 295-0230
NPI assigned
Jun 16, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 467 RI Primary

Addresses

Primary practice location

610 Ten Rod Rd
Box 4
North Kingstown, RI 02852-4236

Mailing address

610 Ten Rod Rd
Box 4
North Kingstown, RI 02852-4236
Phone (401) 295-9767

Other identifiers 2

IdentifierTypeStateIssuer
6409395OtherRIUNITED HEALTH NON PAR #
78737OtherRIBLUE CROSS OF RI NON PAR #

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
467RIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1568622306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 TEN ROD RD",
            "address_2": "BOX 4",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524236",
            "telephone_number": "401-295-9767",
            "fax_number": "401-295-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 TEN ROD RD",
            "address_2": "BOX 4",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524236",
            "telephone_number": "401-295-9767",
            "fax_number": "401-295-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DEBRA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH NON PAR #",
            "identifier": "6409395",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF RI NON PAR #",
            "identifier": "78737",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.