Individual provider Active NPI

Kimberly Anne Adam, DPT

  • Physical Therapist
  • Lansdowne, PA
National Provider Identifier
1780872945
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018996 Issued in PA
Practice address
20 W Baltimore Ave
Lansdowne, PA 19050-2101
Phone
(610) 626-0080
Fax
(610) 626-0084
NPI assigned
Oct 11, 2007
Last updated
Oct 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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 PT018996 PA Primary

Addresses

Primary practice location

20 W Baltimore Ave
Lansdowne, PA 19050-2101

Mailing address

20 W Baltimore Ave
Lansdowne, PA 19050-2101
Phone (610) 626-0080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123003350 PA Practitioner - Physical Therapist in Private Practice 7416368402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mishock Physical Therapy LPGroup PAC ID 7517100423, 17 clinicians

Practice addresses (Care Compare)

214 S Newton St Rd
Xcelerate Physical Therpy
Newtown Square, PA 19073-4000
Phone (610) 624-5111

Merit-based Incentive Payment System (MIPS)

Final score
58.46 of 100Reported as group
Quality
59.71
Improvement activities
20
Cost
60.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mishock Physical Therapy LP Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Rehabclinics SPT Inc CurrentSince Aug 21, 2020 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Mishock Physical Therapy LP Physical Therapist Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Aug 21, 2020 Accepting new patients

Locations

560 N Route 100
Bechtelsville, PA 19505
Phone (610) 845-5000

1806 Swamp Pike
#100
Gilbertsville, PA 19525
Phone (610) 327-2600

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

Organizations & group practices 5

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1780872945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W BALTIMORE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502101",
            "telephone_number": "610-626-0080",
            "fax_number": "610-626-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W BALTIMORE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502101",
            "telephone_number": "610-626-0080",
            "fax_number": "610-626-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.