Provider Demographics
NPI:1144210683
Name:ADAMS, THOMAS G II (PT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:G
Last Name:ADAMS
Suffix:II
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 S ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-4725
Mailing Address - Country:US
Mailing Address - Phone:330-245-1791
Mailing Address - Fax:330-245-1793
Practice Address - Street 1:2717 S ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4725
Practice Address - Country:US
Practice Address - Phone:330-245-1791
Practice Address - Fax:330-245-1793
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT08486225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPT08486OtherOT PT ATC BOARD
OHAD4143123Medicare ID - Type Unspecified