Provider Demographics
NPI:1255576237
Name:ADAMS, DONNA E (DPT, PT, MA, OCS)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:E
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DPT, PT, MA, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 BAYWAY AVE
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8215
Mailing Address - Country:US
Mailing Address - Phone:631-561-5065
Mailing Address - Fax:
Practice Address - Street 1:89 BAYWAY AVE
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8215
Practice Address - Country:US
Practice Address - Phone:631-561-5065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0120782251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic