Individual provider Active NPI

Adam Joseph Rave, LPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1972056935
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12672 Issued in AZ
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

Updated by the provider on Nov 15, 2016

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 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 IDStateProvider typePAC IDDetails
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 22 clinicians

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

LicenseStateTypeSpecialty
12672AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.