Individual provider Active NPI

Adrianne Thomas, PT

  • Physical Therapist
  • Angola, IN
National Provider Identifier
1629226022
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008026270 Issued in MO
Practice address
60 Lane 220 Lake Gage
Angola, IN 46703-8757
Phone
(260) 243-1327
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2008026270 MO Primary

Addresses

Primary practice location

60 Lane 220 Lake Gage
Angola, IN 46703-8757

Mailing address

60 Lane 220 Lake Gage
Angola, IN 46703-8757
Phone (260) 243-1327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000517 TX Practitioner - Physical Therapist in Private Practice 0244363372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008026270MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports and Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince Nov 17, 2008 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Mar 1, 2014 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Past Accepting new patients

Locations

11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555

12050 Industry Way
Bldg O
Anchorage, AK 99515
Phone (907) 341-5555

Organizations & group practices 3

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1629226022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LANE 220 LAKE GAGE",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467038757",
            "telephone_number": "260-243-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LANE 220 LAKE GAGE",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467038757",
            "telephone_number": "260-243-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ADRIANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008026270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.