Adam Robert Pavlovich, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

296220 Issued in CA

Practice address

1245 San Pablo Dr
San Marcos, CA 92078-4816

Phone

(607) 341-2479

NPI assigned

Feb 6, 2019

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Soma Physical Therapy Inc

  • Clinic/Center
  • San Marcos, CA
  • NPI 1801548409

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Atala Physical Therapy, Inc.

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1588729529
  NPD (past)
• Atala Rehab Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Carlsbad, CA
  • NPI 1881952331
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1992260632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SAN PABLO DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784816",
            "telephone_number": "607-341-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 SAN PABLO DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784816",
            "telephone_number": "607-341-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVICH",
        "first_name": "ADAM",
        "middle_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirav Subodh Patel, D.P.M.
• Sonal Kirti Patel, PHARMD
• Danielle Patterson, PNP
• Janet Paul
• Shelby Tania Paul
• Kerry E.W. Pawl, DPT
• Linda Pazevic, PT
• Brittany Peake
• Kari Kimberly Pearman, MFT
• Tamara Marjorie Peddie-Musser, LMFT

• Physical Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.