Active NPI
Adam Thomas Ackerman, PT
- Physical Therapist
- Viroqua, WI
National Provider Identifier
1861669301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9930024
- Practice address
- 614 S Rock Ave
Viroqua, WI 54665-1936 - Phone
- (608) 637-6337
- Fax
- (608) 637-3839
- NPI assigned
- May 14, 2008
- Last updated
- Jul 14, 2010
- 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 | 9930024 | WI | Primary |
Addresses
Primary practice location
614 S Rock Ave
Viroqua, WI 54665-1936
Mailing address
E3414 US Highway 14
Coon Valley, WI 54623-8322
Phone (608) 498-6702
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9930024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1861669301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E3414 US HIGHWAY 14",
"city": "COON VALLEY",
"state": "WI",
"postal_code": "546238322",
"telephone_number": "608-498-6702",
"fax_number": "608-452-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 S ROCK AVE",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651936",
"telephone_number": "608-637-6337",
"fax_number": "608-637-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "ADAM",
"middle_name": "THOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9930024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.