Adam Elam, PT, DPT

Key facts

NPI

1700282936

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

08914 (LA)

Practice address

1673 E Mount Pleasant Rd
Unit F
Zachary, LA 70791-5917

Phone

(225) 424-6165

Fax

(225) 424-6167

NPI assigned

Nov 17, 2014

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)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 25, 2015.

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1700282936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1505",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707911505",
            "telephone_number": "225-424-6167",
            "fax_number": "225-424-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 E MOUNT PLEASANT RD",
            "address_2": "UNIT F",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915917",
            "telephone_number": "225-424-6165",
            "fax_number": "225-424-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "ADAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Keith Brian Elbourne, M.D.
• Kelvin Ellis Jr., D.O.
• Tina C Elwood, LMT, NCTMB
• Emerging Therapist Solutions LLC
• Calandra Emery

All providers in Zachary, LA · Physical Therapist in Louisiana