Provider Demographics
NPI:1538384722
Name:PAT ADAMS, PT AND ASSOCIATES, INC
Entity type:Organization
Organization Name:PAT ADAMS, PT AND ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:318-640-1942
Mailing Address - Street 1:144 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-4505
Mailing Address - Country:US
Mailing Address - Phone:318-640-1942
Mailing Address - Fax:318-641-1638
Practice Address - Street 1:144 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4505
Practice Address - Country:US
Practice Address - Phone:318-640-1942
Practice Address - Fax:318-641-1638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPT00104R225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty