Provider Demographics
NPI:1801461785
Name:RHOADS, ADAM F (PT)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:F
Last Name:RHOADS
Suffix:
Gender:M
Credentials:PT
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6431 LAKE ANDREW DR UNIT 103
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7250
Mailing Address - Country:US
Mailing Address - Phone:321-473-6773
Mailing Address - Fax:321-473-3002
Practice Address - Street 1:6431 LAKE ANDREW DR UNIT 103
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7250
Practice Address - Country:US
Practice Address - Phone:321-473-6773
Practice Address - Fax:321-473-3002
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT20638208100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation