Adam Edwin Homolka, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012622 Issued in MI

Practice address

6440 Fulton St E Ste 150
Ada, MI 49301-9006

Phone

(616) 920-7264

Fax

(616) 920-7692

NPI assigned

Mar 16, 2006

Last updated

Mar 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Endurance Rehabilitation & Athletics PLLC

  • Orthopedic Physical Therapist
  • Ada, MI
  • NPI 1508318296
  Medicare reassignment Authorized official
• Michigan Rehabilitation Specialists of Fowlerville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MI
  • NPI 1407525892
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1780653352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 FULTON ST E STE 150",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019006",
            "telephone_number": "616-920-7264",
            "fax_number": "616-920-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 FULTON ST E STE 150",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019006",
            "telephone_number": "616-920-7264",
            "fax_number": "616-920-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMOLKA",
        "first_name": "ADAM",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Henders, MA LLP
• Sarah Hendrick, LMSW
• Von Scott Hieneman, O.D.
• Julia Hilbert
• Jill Margaret Holkeboer, MSPT
• Ruth Hoogmoed, RN
• Alexandria Horner
• Hospice of Michigan, Inc. (Hospice of Western Michigan)
• Taylor Mary Howell, LLMSW
• Mary J. Hutchinson, RN

• Physical Therapist in Ada, MI
• Providers in Ada, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.