Shawn Christopher Adams, P.T., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 2912 Issued in AR

Practice address

3733 N Business Dr
Suite 102
Fayetteville, AR 72703-5203

Phone

(479) 582-4647

Fax

(479) 582-4660

NPI assigned

Dec 4, 2006

Last updated

Jan 15, 2025By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Body Mechanix LLC

  • Physical Therapist
  • Fayetteville, AR
  • NPI 1245041672
  Medicare reassignment NPD Authorized official
• Powell Orthopedics, PA

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
  • NPI 1588876791
  NPD (past)
• Professional for Agility Care LLC

  • Physical Therapist
  • Lowell, AR
  • NPI 1265737548
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1912065012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9688",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030030",
            "telephone_number": "479-582-4647",
            "fax_number": "479-582-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 N BUSINESS DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035203",
            "telephone_number": "479-582-4647",
            "fax_number": "479-582-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 N Plainview Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034619",
            "country_code": "US",
            "telephone_number": "479-595-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHAWN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "P.T., DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "5A011",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Adam, PTA
• Amy Adams
• Kerri Adams, LMSW
• Lindsey Ann Adams, APRN
• Ryan Adams
• Jeri Lynn Aday, LCSW
• Kelsey Inies Adcock, OTD
• Sydney Adcock, PT
• Jayme Sue Adderholt, BCABA
• Kitty Mae Adderholt

• Physical Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.