Individual provider Active NPI

Vincent Adams

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1720636285
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
LPT-30846 Issued in AZ
Practice address
1040 S Harrison Rd
Tucson, AZ 85748-6601
Phone
(520) 325-4002
NPI assigned
Aug 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X LPT-30846 AZ Primary

Addresses

Primary practice location

1040 S Harrison Rd
Tucson, AZ 85748-6601

Mailing address

3510 N Craycroft Rd Apt 4209
Tucson, AZ 85718-7281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617001175 SC Practitioner - Physical Therapist in Private Practice 1658603394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Total Joint and Orthopedic Physical TherapyGroup PAC ID 0345411856, 5 clinicians

Practice addresses (Care Compare)

6 Pleasant Place CT
Beaufort, SC 29907-1187
Phone (843) 252-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11226SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Joint and Orthopedic Physical Therapy Physical Therapist CurrentSince Oct 5, 2023 Accepting new patients
Carolina Sportscare and Physical Therapy Physical Therapist CurrentSince May 6, 2022 Accepting new patients

Locations

1900 Boundary St
Ste 101
Beaufort, SC 29902
Phone (843) 521-1970

1900 Boundary St
Beaufort, SC 29902
Phone (402) 889-6501

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1720636285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N CRAYCROFT RD APT 4209",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486601",
            "telephone_number": "520-325-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "LPT-30846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.