Individual provider Active NPI

Luke Daniel Aromin Adan, PT

  • Physical Therapist
  • Pacific Grove, CA
National Provider Identifier
1730448192
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38936 Issued in CA
Practice address
170 17TH St Ste B
Pacific Grove, CA 93950-7201
Phone
(831) 235-6489
NPI assigned
May 4, 2012
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38936 CA Primary

Addresses

Primary practice location

170 17TH St Ste B
Pacific Grove, CA 93950-7201

Mailing address

170 17TH St Ste B
Pacific Grove, CA 93950-7201
Phone (831) 235-6489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000560 CA Practitioner - Physical Therapist in Private Practice 0244494219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians

Practice addresses (Care Compare)

21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38936CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivo Physical Therapy, Inc. CurrentSince Jul 3, 2022 Accepting new patients
Monterey Spine & Joint PC CurrentSince Jan 5, 2026 Accepting new patients
Monterey Spine & Joint PC CurrentSince Jan 5, 2026 Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

12 Upper Ragsdale Dr
#B
Monterey, CA 93940
Phone (831) 375-1562

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

170 17th St
Ste B
Pacific Grove, CA 93950
Phone (831) 204-0019

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1730448192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 17TH ST STE B",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939507201",
            "telephone_number": "831-235-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 17TH ST STE B",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939507201",
            "telephone_number": "831-235-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAN",
        "first_name": "LUKE",
        "middle_name": "DANIEL AROMIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.