Individual provider Active NPI

Adam Samuel Dwyer

  • Physical Therapist
  • Shippensburg, PA
National Provider Identifier
1720612740
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT034429 Issued in PA
Practice address
106 S Conestoga Dr
Shippensburg, PA 17257-9031
Phone
(717) 477-2066
NPI assigned
Feb 28, 2020
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT034429 PA Primary
Athletic Trainer 2255A2300X MD

Addresses

Primary practice location

106 S Conestoga Dr
Shippensburg, PA 17257-9031

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8995

Other practice location 1

101 Braddock Rd
Frostburg, MD 21532-2303
Phone (240) 818-3605

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address asdwyer0@frostburg.edu Direct
Direct Messaging Address asdwyer0@frostburg.edu Direct
Direct Messaging Address asdwyer0@frostburg.edu Direct
Direct Messaging Address asdwyer0@frostburg.edu Direct
Direct Messaging Address asdwyer0@frostburg.edu Direct
Direct Messaging Address asdwyer0@frostburg.edu Direct

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

LicenseStateTypeSpecialty
PT034429PAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: asdwyer0@frostburg.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1720612740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S CONESTOGA DR",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579031",
            "telephone_number": "717-477-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Braddock Rd",
            "address_purpose": "LOCATION",
            "city": "Frostburg",
            "state": "MD",
            "postal_code": "215322303",
            "country_code": "US",
            "telephone_number": "240-818-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "ADAM",
        "middle_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-28",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT034429",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asdwyer0@frostburg.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Braddock Rd",
            "city": "Frostburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215322303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asdwyer0@frostburg.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Braddock Rd",
            "city": "Frostburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215322303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asdwyer0@frostburg.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Braddock Rd",
            "city": "Frostburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215322303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asdwyer0@frostburg.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Braddock Rd",
            "city": "Frostburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215322303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asdwyer0@frostburg.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Braddock Rd",
            "city": "Frostburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215322303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asdwyer0@frostburg.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Braddock Rd",
            "city": "Frostburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215322303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.