Adam Michael Irwin, PT
Individual provider Active NPI Physical Therapist · Waupaca, WI
NPI 1609320555 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1609320555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13449 (WI)
- Practice address
- 800 Riverside Dr
Waupaca, WI 54981-1943 - Phone
- (715) 258-1000
- Fax
- (715) 258-1632
- NPI assigned
- Aug 9, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Interoperability endpoints
- airwin172287@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13449 | WI | Yes |
Addresses
Primary practice location
800 Riverside Dr
Waupaca, WI 54981-1943
Mailing address
PO Box 2759
Appleton, WI 54912-2759
Phone (920) 830-5900
Other providers in Waupaca, WI
- Wendy Carroll Hill
- Hoffmann Clinic
- Whitney A Hoffmann
- Aaron Holt
- Iris Health Clinic LLC
- Dawn Lynne Johnson
- Wendy G Johnson
- Kristen L Joness
- David Kempfert
- Jessica Lynn Kennedy
All providers in Waupaca, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.