Individual provider Active NPI

Adam Lee Munter, PT, DPT

  • Physical Therapist
  • Pella, IA
National Provider Identifier
1770878902
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3009 Issued in NE
Practice address
2602 Fifield Rd
Pella, IA 50219-7925
Phone
(402) 281-7947
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 3009 NE Primary

Addresses

Primary practice location

2602 Fifield Rd
Pella, IA 50219-7925

Mailing address

19012 Sahler St
Elkhorn, NE 68022-1139
Phone (402) 369-2801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000468 IA Practitioner - Physical Therapist in Private Practice 5890965644 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tidd-Krafft Occupational and Physical Therapy PA Physical Therapist CurrentSince May 5, 2022 Accepting new patients

Locations

1275 SW State St
Ankeny, IA 50023
Phone (515) 895-4560

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 1

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1770878902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19012 SAHLER ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221139",
            "telephone_number": "402-369-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 FIFIELD RD",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197925",
            "telephone_number": "402-281-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTER",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.