Active NPI
Adam Joseph Rave, LPT
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12672
- Practice address
- 1020 S Harrison Rd
Ste 120
Tucson, AZ 85748-6610 - Phone
- (520) 207-6288
- Fax
- (520) 344-7462
- NPI assigned
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 076353 | IA | |
| Physical Therapist | 225100000X | 12672 | AZ | Primary |
Addresses
Primary practice location
1020 S Harrison Rd
Ste 120
Tucson, AZ 85748-6610
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190723003500 | IA | Practitioner - Physical Therapist in Private Practice | 8527341312 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Taylor Physical Therapy Associates LLC
Practice addresses (Care Compare)
1014 W 1St St
Sumner, IA 50674-1273
Phone (563) 578-5125
121 Tower St
Denver, IA 50622-2201
Phone (319) 406-0185
1306 Hwy 57 B
Parkersburg, IA 50665-1049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12672 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
Locations
121 Tower St
Denver, IA 50622
Phone (319) 406-0185
1306 Highway 57
Parkersburg, IA 50665
1306 Highway 57
Ste B
Parkersburg, IA 50665
Phone (319) 346-9783
1014 W 1st St
Sumner, IA 50674
Phone (563) 578-5125
100 Wartburg Blvd
Ste 1392
Waverly, IA 50677
Phone (319) 346-9783
1203 W Bremer Ave
Waverly, IA 50677
Phone (319) 559-2442
Organizations & group practices 1
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.
-
- Physical Therapist
- Sumner, IA
- NPI 1861591745
IA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1972056935",
"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": "1020 S HARRISON RD",
"address_2": "STE 120",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857486610",
"telephone_number": "520-207-6288",
"fax_number": "520-344-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVE",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-26",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "076353",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.