MEDICARE: THOMAS G ADAMS II PT

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	225100000X	Physical Therapist	PT08486	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT08486	OTHER	OH	OT PT ATC BOARD

General Provider Information

NPI Number	:	1144210683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS G ADAMS II PT

Provider Business Mailing Address
First Line	:	2717 S ARLINGTON RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-245-1791
Fax Number	:	330-245-1793

Provider Business Practice Location Address
First Line	:	2717 S ARLINGTON RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-245-1791
Fax Number	:	330-245-1793

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	08/21/2024

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