Active NPI
Adam Kagarise, D.P.T
- Physical Therapist
- Boardman, OH
National Provider Identifier
1780092064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014974
- Practice address
- 755 Boardman Canfield Rd
Building P Unit 1
Boardman, OH 44512-4300 - Phone
- (330) 726-7404
- NPI assigned
- Jul 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014974 | OH | Primary |
Addresses
Primary practice location
755 Boardman Canfield Rd
Building P Unit 1
Boardman, OH 44512-4300
Mailing address
8073 Washington Village Drive
Suite 110
Dayton, OH 45458-1847
Phone (937) 813-8052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014974 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1780092064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8073 WASHINGTON VILLAGE DRIVE",
"address_2": "SUITE 110",
"city": "DAYTON",
"state": "OH",
"postal_code": "454581847",
"telephone_number": "937-813-8052",
"fax_number": "937-813-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 BOARDMAN CANFIELD RD",
"address_2": "BUILDING P UNIT 1",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124300",
"telephone_number": "330-726-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGARISE",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-30",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.