Individual provider Active NPI

James Ervin Adams, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1902396856
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9102 Issued in SC
Practice address
130 Forum Dr Ste 13
Columbia, SC 29229
Phone
(803) 509-6880
Fax
(803) 509-6881
NPI assigned
May 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 9102 SC Primary

Addresses

Primary practice location

130 Forum Dr Ste 13
Columbia, SC 29229

Mailing address

130 Forum Dr Ste 13
Columbia, SC 29229-7943
Phone (803) 509-6880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000758 FL Practitioner - Physical Therapist in Private Practice 2466707906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Rehabilitation, LLCGroup PAC ID 6901884519, 20 clinicians

Practice addresses (Care Compare)

2576 S Volusia Ave
Suite 102
Orange City, FL 32763-9120
Phone (386) 774-4840

31 Lupi CT
Suite 150
Palm Coast, FL 32137-4761
Phone (386) 447-0011

495 S Nova Rd
Suite 113
Ormond Beach, FL 32174-8470
Phone (386) 677-4300

5575 A1A
Suite 113
St Augustine, FL 32080-7045
Phone (904) 217-8601

733 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4226
Phone (386) 756-0077

752 W Plymouth Ave
Deland, FL 32720-3282
Phone (386) 734-1136

Merit-based Incentive Payment System (MIPS)

Final score
85.46 of 100Reported as individual
Quality
82.9
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9102SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University Rehabilitation, LLC Physical Therapist CurrentSince May 30, 2023 Accepting new patients

Locations

733 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 756-0077

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1902396856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FORUM DR STE 13",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297943",
            "telephone_number": "803-509-6880",
            "fax_number": "803-509-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORUM DR STE 13",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-509-6880",
            "fax_number": "803-509-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JAMES",
        "middle_name": "ERVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.