MEDICARE: MR. DANIEL SCOTT ADAMS P.T.

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	PTH 4865	AL
2	225100000X	Physical Therapist	PT23536	FL

General Provider Information

NPI Number	:	1831419407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL SCOTT ADAMS P.T.

Provider Business Mailing Address
First Line	:	PO BOX 7513
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36577-7513
Country	:	US
Telephone Number	:	251-404-5242
Fax Number	:

Provider Business Practice Location Address
First Line	:	30595 PINYON DR
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5787
Country	:	US
Telephone Number	:	251-404-5242
Fax Number	:

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

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	06/07/2010

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