Jacqueline J. McAdam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1675PT Issued in MT

Practice address

1826 Harrison Ave
Butte, MT 59701-5406

Phone

(406) 299-2450

Fax

(406) 299-3117

NPI assigned

Sep 20, 2006

Last updated

May 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacqueline J. Bozung Former name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

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.

• Copper City Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Butte, MT
  • NPI 1972908945
  Medicare reassignment Authorized official
• Center for Physical Therapy & Wellness Inc

  • Physical Therapy Clinic/Center
  • Butte, MT
  • NPI 1790866259
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1871690834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015406",
            "telephone_number": "406-299-2450",
            "fax_number": "406-299-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 HARRISON AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015406",
            "telephone_number": "406-299-2450",
            "fax_number": "406-299-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADAM",
        "first_name": "JACQUELINE",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1675PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871690834",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "BOZUNG",
            "middle_name": "J.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Anthony Mavros, A.T.,C.
• Alan R Mayer, M.D.
• Amanda Marie Timbol Mayer, PHARMD
• Christine Mayer, ATC
• Tiffany Noel Mayson, LMT
• Sandra McAdams, LCPC
• Taylor McArthur, RPH
• Holly Ann McCamant
• Kimberly McCarthy-Cody
• Lawrence McCarthy

• Physical Therapist in Butte, MT
• Providers in Butte, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.