Active NPI
Katherine Marie Adamiak-Pellow, PT
- Pediatric Physical Therapist
- Arcadia, CA
National Provider Identifier
1639465453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT 37455
- Practice address
- 50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314 - Phone
- (626) 445-2400
- NPI assigned
- Jun 20, 2011
- Last updated
- Jan 7, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT 37455 | CA | Primary |
Addresses
Primary practice location
50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314
Mailing address
113 E Olive Ave
Monrovia, CA 91016-3407
Phone (626) 531-0787
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37455 | CA | MD | Dentist |
| PT 37455 | CA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapies, Inc. | Pediatrics | 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": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1639465453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E OLIVE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163407",
"telephone_number": "626-531-0787",
"fax_number": "626-226-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E FOOTHILL BLVD STE 100",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062314",
"telephone_number": "626-445-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMIAK-PELLOW",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT 37455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.