Active NPI
Adam Paicely, DPT
- Orthopedic Physical Therapist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 293987
- Practice address
- 2010 Wilshire Blvd
Santa Monica, CA 90403-5608 - Phone
- (310) 878-2540
- NPI assigned
- Mar 21, 2019
- Last updated
- Mar 21, 2019
- 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 |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignite Phyzio & Sports Performance Inc | Current | Accepting new patients | |
| Sportsfit Physical Therapy Corporation | Orthopedic | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Orthopedic | Current | Accepting new patients |
| Physical Therapy of Newport, Inc. | Orthopedic | Past | 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.
-
- Physical Therapy Clinic/Center
- La Habra, CA
- NPI 1306354881
-
- Physical Therapy Clinic/Center
- Agoura Hills, CA
- NPI 1518441849
-
- Orthopedic Physical Therapist
- Santa Monica, CA
- NPI 1558615492
-
- Physical Therapy Clinic/Center
- Newport Beach, CA
- NPI 1841330701
Orthopedic
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.