Active NPI
Monika Noelle Adamski, LPT, DPT
- Physical Therapist
- Dallas, PA
National Provider Identifier
1679243604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013500L
- Practice address
- 5 Jacquelyn LN
Dallas, PA 18612-9107 - Phone
- (570) 255-4578
- NPI assigned
- Sep 21, 2021
- Last updated
- Sep 21, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013500L | PA | Primary |
Addresses
Primary practice location
5 Jacquelyn LN
Dallas, PA 18612-9107
Mailing address
55 Norton Ave
Dallas, PA 18612-1646
Phone (570) 510-1066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
64 Ridgway Dr
Suite 1
Dallas, PA 18612-9263
Phone (570) 255-4578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013500L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cip Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
Locations
64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578
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": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1679243604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 NORTON AVE",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121646",
"telephone_number": "570-510-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 JACQUELYN LN",
"city": "DALLAS",
"state": "PA",
"postal_code": "186129107",
"telephone_number": "570-255-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMSKI",
"first_name": "MONIKA",
"middle_name": "NOELLE",
"credential": "LPT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013500L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.