Wellformed AI

NPI 1073878864 · live from the CMS NPI Registry

Jessica Humbach Adamczak, DPT, ATC

Physical Therapist, Orthopedic in Charlotte, NC. National Provider Identifier 1073878864, active.

NPI record

NPI1073878864 Type 1 · individual
StatusActive
Primary specialtyPhysical Therapist, Orthopedic 2251X0800X
Practice location8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277
Practice phone704-900-8960
Mailing address3113 Crescent Knoll Dr, Matthews, NC 28105
EnumeratedJuly 9, 2012
Last updatedNovember 5, 2015
Sole proprietorNo
Other namesJessica Humbach

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist, Orthopedic primary2251X0800XP13724 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.