Individual provider Active NPI

Adam Paicely, DPT

  • Orthopedic Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1568922953
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
293987 Issued in CA
Practice address
2010 Wilshire Blvd
Santa Monica, CA 90403-5608
Phone
(310) 878-2540
NPI assigned
Mar 21, 2019
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 293987 CA Primary

Addresses

Primary practice location

2010 Wilshire Blvd
Santa Monica, CA 90403-5608

Mailing address

1459 Norman Ave
Thousand Oaks, CA 91360-3523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509002779 CA Practitioner - Physical Therapist in Private Practice 8820331051 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Kentucky University Medical Department, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Ignite Phyzio and Sports Performance IncGroup PAC ID 0042649584, 8 clinicians
Pro X Physical Therapy PCGroup PAC ID 0547508467, 5 clinicians

Practice addresses (Care Compare)

2121 E Lambert Rd
Suite 306
La Habra, CA 90631-5768
Phone (714) 335-3182

30851 Agoura Rd
Suite 300
Agoura Hills, CA 91301-4346
Phone (818) 532-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Phyzio & Sports Performance Inc CurrentSince Oct 1, 2024 Accepting new patients
Sportsfit Physical Therapy Corporation Orthopedic CurrentSince Mar 11, 2019 Accepting new patients
California Luna Care Physical Therapy PC Orthopedic CurrentSince Jan 11, 2021 Accepting new patients
Physical Therapy of Newport, Inc. Orthopedic PastSince May 16, 2002 Accepting new patients

Locations

2925 Airway Ave
Ste A
Costa Mesa, CA 92626
Phone (714) 335-3182

2121 E Lambert Rd
Ste 306
La Habra, CA 90631

811 E Lambert Rd
La Habra, CA 90631
Phone (562) 896-0129

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

747 Dover Dr
Newport Beach, CA 92663
Phone (714) 335-3182

2010 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 878-2540

Organizations & group practices 5

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1568922953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 NORMAN AVE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035608",
            "telephone_number": "310-878-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAICELY",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.