Individual provider Active NPI

Adam Bruce Caddick, LMBT

  • Mechanotherapist
  • Asheville, NC
National Provider Identifier
1588177240
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
13421 Issued in NC
Practice address
947 Haywood Rd
Asheville, NC 28806-2634
Phone
(828) 552-3003
NPI assigned
Nov 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 13421 NC Primary

Addresses

Primary practice location

947 Haywood Rd
Asheville, NC 28806-2634

Mailing address

251 N Bear Creek Rd
Asheville, NC 28806-1841

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
13421NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ebb and Flow Massage Therapy Center Inc. Mechanotherapist PastSince Jul 24, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1588177240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N BEAR CREEK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 HAYWOOD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062634",
            "telephone_number": "828-552-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADDICK",
        "first_name": "ADAM",
        "middle_name": "BRUCE",
        "credential": "LMBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NC",
            "license": "13421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.