Provider Demographics
NPI:1265721294
Name:ADAMS PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:ADAMS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARABEDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:413-446-7537
Mailing Address - Street 1:1 BERKSHIRE SQ
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220-1300
Mailing Address - Country:US
Mailing Address - Phone:413-446-7537
Mailing Address - Fax:
Practice Address - Street 1:1 BERKSHIRE SQ
Practice Address - Street 2:SUITE 109
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-1300
Practice Address - Country:US
Practice Address - Phone:413-446-7537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA94652251G0304X, 2251S0007X, 2251X0800X
MA7769225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty