Adam Garrett Tedford

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4949 Issued in AR

Practice address

1502 Highway 367
Tuckerman, AR 72473

Phone

(870) 522-7576

NPI assigned

Jul 11, 2024

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1972340388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 SAMS PL",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048386",
            "telephone_number": "870-897-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 HIGHWAY 367",
            "city": "TUCKERMAN",
            "state": "AR",
            "postal_code": "72473",
            "telephone_number": "870-522-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDFORD",
        "first_name": "ADAM",
        "middle_name": "GARRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Mitchell
• Stacy Moore
• Kristinia Pratt, MHPP, RN
• Kelsie Riedy
• Sarah Sitzer
• Tuckerman Volunteer Ambulance Service
• Megan Vincent, PTA
• Dayton Xavier Watson, ATC
• Steven Wiliams, MHPP

• Physical Therapy Assistant in Tuckerman, AR
• Providers in Tuckerman, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.