Andrew James Adam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61150 Issued in OR

Practice address

51385 SW Old Portland Rd
Suite E
Scappoose, OR 97056-4061

Phone

(503) 543-7768

Fax

(503) 543-7772

NPI assigned

Nov 24, 2015

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

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Kab Physical Therapy LLC

  • Physical Therapist
  • Hillsboro, OR
  • NPI 1447568183

  OR, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Erhardt Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Scappoose, OR
  • NPI 1326110313

  OR, Physical Therapist

  Medicare reassignment NPD
• Impact Physical Therapy, LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1083655260
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Buffalo School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kab Physical Therapy LLC 6 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1962876284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51385 SW OLD PORTLAND RD",
            "address_2": "SUITE E",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970564061",
            "telephone_number": "503-543-7768",
            "fax_number": "503-543-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ackerman Psychological Services LLC
• Chloe Leanora Ackerman, PSYD
• Advanced Alternative Healthcare Clinic, Inc.
• Gabriel K Andeen, MD
• Nicole Ann Andreotti
• Robert Emilio Andreotti, D.M.D.
• Arrow Dental LLC

• All providers in Scappoose, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.