Adam Michael Pangborn, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3266 Fluvanna Avenue Ext
Fluvanna, NY 14701-9706

Phone

(716) 708-6179

NPI assigned

Sep 11, 2024

Last updated

Sep 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Aquatic Wellness of Chautauqua Physical Therapy PLLCGroup PAC ID 3971999814, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Health Aquatic Wellness of Chautauqua Physical Therapy PLLC

  • Physical Therapist
  • Fluvanna, NY
  • NPI 1144980962
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1760218291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21860 ROUTE 6",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163657950",
            "telephone_number": "814-688-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3266 FLUVANNA AVENUE EXT",
            "city": "FLUVANNA",
            "state": "NY",
            "postal_code": "147019706",
            "telephone_number": "716-708-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGBORN",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Marie Brown, PT
• Fluvanna Fire District
• Health Aquatic Wellness of Chautauqua Physical Therapy PLLC
• Wayne E Quattrone II, PT, DPT
• Kimberly Nicole Ristau, PT, DPT

• Physical Therapist in Fluvanna, NY
• Providers in Fluvanna, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.