Active NPI
Amanda Jo Adams, LAT/ATC
- Sports Medicine (Preventive Medicine) Physician
- Crawfordsville, IN
National Provider Identifier
1942951975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 36001309A
- Practice address
- 2017 W Black Creek Valley Rd
Crawfordsville, IN 47933-8720 - Phone
- (765) 230-7690
- NPI assigned
- Jan 11, 2022
- Last updated
- Jan 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 36001309A | IN | Primary |
Addresses
Primary practice location
2017 W Black Creek Valley Rd
Crawfordsville, IN 47933-8720
Mailing address
2017 W Black Creek Valley Rd
Crawfordsville, IN 47933-8720
Phone (765) 230-7690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001309A | IN | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1942951975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 W BLACK CREEK VALLEY RD",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479338720",
"telephone_number": "765-230-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 W BLACK CREEK VALLEY RD",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479338720",
"telephone_number": "765-230-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "AMANDA",
"middle_name": "JO",
"credential": "LAT/ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "IN",
"license": "36001309A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crawfordsville, IN
- Accelerated Rehab Centers LTD (Athletico Physical Therapy)
- Access Medical Clinic LLC (Access Medical Clinic)
- Accurate Hearing Centers Inc (Hearing Care Professionals)
- Active Podiatry P.C.
- Active Podiatry PC
- Aj Music Therapy
- Courtney Alexander, RBT
- Megan S Alexander, NP
- Kaela Marie Allen
- Aaron S. Altschul, D.D.S., M.S.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.