MEDICARE: AUSTIN DAMON ADAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA10293	AL

General Provider Information

NPI Number	:	1124906391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN DAMON ADAMS

Provider Business Mailing Address
First Line	:	194 KING COTTON LN
Second Line	:
City	:	WETUMPKA
State	:	AL
Zip	:	36092-8099
Country	:	US
Telephone Number	:	334-300-7120
Fax Number	:	334-300-7120

Provider Business Practice Location Address
First Line	:	209 W SPRING ST STE 101
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-2974
Country	:	US
Telephone Number	:	334-300-7120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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Directions to “ AUSTIN DAMON ADAMS ” Practice Location

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