Individual provider Active NPI

Adam Michael Urick, DPT

  • Physical Therapist
  • Eagan, MN
National Provider Identifier
1912424037
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10706 Issued in MN
Practice address
3365 Central Park Village Dr Ste 100
Eagan, MN 55121-7707
Phone
(952) 835-4512
Fax
(888) 425-0398
NPI assigned
Aug 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24552 MA
Physical Therapist 225100000X 10706 MN Primary

Addresses

Primary practice location

3365 Central Park Village Dr Ste 100
Eagan, MN 55121-7707

Mailing address

7825 3Rd St N Ste 105
Oakdale, MN 55128-5403
Phone (952) 835-4512

Other practice location 1

7750 Harkness Ave S Ste 109
Cottage Grove, MN 55016-2163
Phone (952) 835-4512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190909002120 MA Practitioner - Physical Therapist in Private Practice 4284970369 Reassigns benefits to 1 organization
I20210429001619 MN Practitioner - Physical Therapist in Private Practice 4284970369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

3365 Central Park Village Dr
Suite 100
Eagan, MN 55121-7707
Phone (877) 609-0123

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24552MAMDPhysical Therapist
10706MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Sep 13, 2019 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2023 Accepting new patients
Pelican Sports and Rehabilitation, Inc Physical Therapist PastSince Jan 6, 2019 Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients

Locations

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

63 Winthrop St
Ste C1C2
Taunton, MA 02780
Phone (508) 822-8514

711 W Center St
West Bridgewater, MA 02379
Phone (508) 583-1100

6520 150th St W
Ste 100
Apple Valley, MN 55124

7750 Harkness Ave S
Ste 109
Cottage Grove, MN 55016

7750 Harkness Ave S
Cottage Grove, MN 55016

3365 Central Park Village Dr
#100
Eagan, MN 55121

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

Organizations & group practices 6

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1912424037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 3RD ST N STE 105",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285403",
            "telephone_number": "952-835-4512",
            "fax_number": "888-425-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 CENTRAL PARK VILLAGE DR STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551217707",
            "telephone_number": "952-835-4512",
            "fax_number": "888-425-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7750 Harkness Ave S Ste 109",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "MN",
            "postal_code": "550162163",
            "country_code": "US",
            "telephone_number": "952-835-4512",
            "fax_number": "888-425-0398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URICK",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24552",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.