Organization
ADAMS PHYSICAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY W. ADAMS P.T. (OWNER/PRESIDENT)
(260) 726-6828
Entity
Organization
Contact information
Practice address
111 W NORTH ST, PORTLAND, IN 47371-1153
(260) 726-6828
(260) 726-2257
Mailing address
PO BOX 1085, PORTLAND, IN 47371-3185
(260) 726-6828
(260) 726-2257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001458A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093733
ANTHEM BLUE CROSS & BLUE SHIELD
IN
01
—
105382
ANTHEM
IN
05
—
200154330C
—
IN
01
—
2329162
OHIO MEDICAID
IN
Enumeration date
09/14/2006
Last updated
02/02/2009
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