NPI 1861597825 · live from the CMS NPI Registry
Brandon John Adams, MPT CSCS
Physical Therapist in Myrtle Beach, SC. National Provider Identifier 1861597825, active.
NPI record
| NPI | 1861597825 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 7955 N Kings Hwy Ste 330, Myrtle Beach, SC 29572 |
| Practice phone | 843-945-1815 |
| Mailing address | 1200 Corporate Dr Ste 400, Birmingham, AL 35242 |
| Enumerated | September 14, 2006 |
| Last updated | November 16, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 10763 (NC) |
| Physical Therapist primary | 225100000X | 9239 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.