Individual provider Active NPI

Joseph Dominic Adams, OTR/L

  • Occupational Therapist
  • Fountain Hills, AZ
National Provider Identifier
1720712250
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-006493 Issued in AZ
Practice address
16455 E Avenue of the Fountains Apt A136
Fountain Hills, AZ 85268-8469
Phone
(480) 837-2023
Fax
(480) 837-2072
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-006493 AZ Primary

Addresses

Primary practice location

16455 E Avenue of the Fountains Apt A136
Fountain Hills, AZ 85268-8469

Mailing address

5123 E Dallas St
Mesa, AZ 85205-6441
Phone (480) 789-1150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.adams1@pwerbackrehab.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726000875 AZ Practitioner - Occupational Therapist in Private Practice 4789065566 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTH-006493AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Care Inc CurrentSince Jan 20, 2026 Accepting new patients

Locations

7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846

Interoperability endpoints

  • Direct secure messaging: joseph.adams1@pwerbackrehab.com

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, 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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1720712250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 E DALLAS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056441",
            "telephone_number": "480-789-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 E AVENUE OF THE FOUNTAINS APT A136",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688469",
            "telephone_number": "480-837-2023",
            "fax_number": "480-837-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JOSEPH",
        "middle_name": "DOMINIC",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-006493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.adams1@pwerbackrehab.com",
            "affiliation": "N",
            "endpointDescription": "Work email that allows encryption/secure server",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5123 E Dallas St",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852056441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.