Healthcare Provider Details

I. General information

NPI: 1629982269
Provider Name (Legal Business Name): WILLIAM CLARKE ADAMS PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 GRANT ST STE 300
CONCORD CA
94520-2267
US

IV. Provider business mailing address

301 ROCK CREEK WAY
PLEASANT HILL CA
94523-4711
US

V. Phone/Fax

Practice location:
  • Phone: 925-674-2125
  • Fax:
Mailing address:
  • Phone: 925-890-6917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberAT5518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: