Jeffrey John D'Adam, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008543 Issued in IL

Practice address

16622 W 159TH St Ste 503
Lockport, IL 60441-8015

Phone

(815) 838-5070

Fax

(815) 838-5071

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Theracore, Inc.

  • Physical Therapist
  • Lockport, IL
  • NPI 1043481005
  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1902460405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16622 W 159TH ST STE 503",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418015",
            "telephone_number": "815-838-5070",
            "fax_number": "815-838-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16622 W 159TH ST STE 503",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418015",
            "telephone_number": "815-838-5070",
            "fax_number": "815-838-5071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E Ogden Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591289",
            "country_code": "US",
            "telephone_number": "708-908-7430",
            "fax_number": "630-908-7458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605275595",
            "country_code": "US",
            "telephone_number": "630-590-5409",
            "fax_number": "630-590-5783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ADAM",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo Custodio Cordero, PT
• Richard A Craig, DDS
• Eileen Mary Crean, OTR/L, CHT
• Joseph William Cunnane, ATC
• Kristine D Czaplicki, M.ED
• Daniel L Clark DO LTD
• Breanna Darcy
• Loren Davis, D.C.
• Ashley Delnegro, LMT
• Dental Professionals of Illinois, PC (Porter Dental Center)

• Physical Therapy Assistant in Lockport, IL
• Providers in Lockport, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.