Individual provider Active NPI

Adam Joseph Bilodeau, PT, DPT

  • Physical Therapist
  • Cayce, SC
National Provider Identifier
1629854872
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12023 Issued in SC
Practice address
1105 12TH St
Cayce, SC 29033-3304
Phone
(803) 973-0100
Fax
(803) 973-0117
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 12023 SC Primary

Addresses

Primary practice location

1105 12TH St
Cayce, SC 29033-3304

Mailing address

1105 12TH St
Cayce, SC 29033-3304
Phone (803) 973-0100

Other practice location 1

10216 Broad River Rd
Irmo, SC 29063-9679
Phone (803) 973-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230921003331 SC Practitioner - Physical Therapist in Private Practice 4981058112
I20241001001299 CO Practitioner - Physical Therapist in Private Practice 4981058112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.65 of 100Reported as group
Quality
84.45
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12023SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 16, 2024 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 4

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1629854872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 12TH ST",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333304",
            "telephone_number": "803-973-0100",
            "fax_number": "803-973-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 12TH ST",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333304",
            "telephone_number": "803-973-0100",
            "fax_number": "803-973-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10216 Broad River Rd",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290639679",
            "country_code": "US",
            "telephone_number": "803-973-1717",
            "fax_number": "803-462-5804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILODEAU",
        "first_name": "ADAM",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayce, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.

Verify at the official NPI Registry.