Provider Demographics
NPI:1649003294
Name:ADAMS, JAIMIE E (DPT)
Entity type:Individual
Prefix:
First Name:JAIMIE
Middle Name:E
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JAIMIE
Other - Middle Name:ELIZABETH
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6349 JAMESTOWNE DR
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-2855
Mailing Address - Country:US
Mailing Address - Phone:440-465-1876
Mailing Address - Fax:
Practice Address - Street 1:5340 ROYALTON RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4008
Practice Address - Country:US
Practice Address - Phone:440-230-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021350208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation