Active NPI
Adam John Hackman
- Physical Therapy Assistant
- Van Buren, AR
National Provider Identifier
1578414843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3684
- Practice address
- 4733 Kibler Rd
Van Buren, AR 72956-8406 - Phone
- (479) 268-2949
- NPI assigned
- Feb 4, 2026
- Last updated
- Feb 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 3684 | OK | Primary |
Addresses
Primary practice location
4733 Kibler Rd
Van Buren, AR 72956-8406
Mailing address
4733 Kibler Rd
Van Buren, AR 72956-8406
Phone (479) 268-2949
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3684 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adair Ya, LLC | Past | Accepting new patients |
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": "1770163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1578414843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 KIBLER RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729568406",
"telephone_number": "479-268-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 KIBLER RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729568406",
"telephone_number": "479-268-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKMAN",
"first_name": "ADAM",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-04",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "3684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.