Provider Demographics
NPI:1114046711
Name:ADAMS PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:ADAMS PHYSICAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:765-584-3665
Mailing Address - Street 1:910 E WASHINGTON ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WINCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:47394-9221
Mailing Address - Country:US
Mailing Address - Phone:765-584-3665
Mailing Address - Fax:765-584-5604
Practice Address - Street 1:910 E WASHINGTON ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WINCHESTER
Practice Address - State:IN
Practice Address - Zip Code:47394-9221
Practice Address - Country:US
Practice Address - Phone:765-584-3665
Practice Address - Fax:765-584-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001458A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000105382OtherANTHEM
OH2329162OtherOHIO MEDICAID
IN200154330CMedicaid
OH2329162OtherOHIO MEDICAID
IN188080Medicare ID - Type Unspecified