ADAM ENDRESS (NPI# 1053505586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053505586 |
| Entity Type | Individual |
| Full Name | ADAM ENDRESS |
| Credential | PT |
| Practice Address |
2300 Park Ave Suite 203 Orange Park FL 32073-5571 |
| Mailing Address |
6500 Bowden Rd Suite 103 Jacksonville FL 32216-8070 |
| Practice Telephone | 9046340640 |
| Practice Fax Number | 9046340203 |
| Mailing Telephone | 9046340640 |
| Mailing Fax Number | 9046340203 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 9632 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 5571 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT0000000 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2300 PARK AVE SUITE 203 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-5571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728303 | Paul A Bednarzyk | Internal Medicine | 2300 Park Ave, Suite 101-b, Orange Park, FL 32073-5572 | 2005-05-23 |
| 1538526157 | Tiffany Reshae Florence | Nurse Practitioner | 2300 Park Ave, Orange Park, FL 32073-5571 | 2016-01-27 |
| 1902261316 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 | 2015-12-30 |
| 1568852739 | Jason M Fetty | Physical Therapist | 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 | 2015-01-27 |
| 1730500489 | Southeast Orthopedic Specialists, Inc. | Specialist | 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 | 2013-12-26 |
| 1023445004 | Nedzad Cavka | Physical Therapist | 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 | 2013-10-04 |
| 1104163138 | Krystal Jane Newbern | Physical Therapist | 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 | 2013-01-10 |
| 1235489287 | Mark A Arrigenna | Physician Assistant | 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 | 2012-09-18 |
| 1841578556 | The Smart Group, LLC | Pharmacy | 2300 Park Ave, Suite 100, Orange Park, FL 32073-5571 | 2011-07-29 |
| 1912136292 | Housecall Home Health, L.L.C. | Home Health | 2300 Park Ave, Suite 102, Orange Park, FL 32073-5571 | 2009-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104328269 | Rebound Rehabilitative Services Inc | Physical Therapist | 904 Park Ave Ste 2, Orange Park, FL 32073-4120 | 2018-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422064 | Purpose Physical Therapy and Wellness, LLC | Physical Therapist | 3369 10th St N, St Petersburg, FL 33704-1205 | 2020-09-16 |
| 1114532074 | Rezalo Health & Performance | Physical Therapist | 27402 Bonterra Loop Apt 401, Wesley Chapel, FL 33544-5165 | 2020-09-08 |
| 1578173217 | Katherine Herzfeld | Physical Therapist | 2954 Mallory Cir Ste 110, Celebration, FL 34747-1820 | 2020-08-07 |
| 1447875331 | Janelle Marie Fleites | Physical Therapist | 6190 Sw 116th St, Pinecrest, FL 33156-4957 | 2020-06-16 |
| 1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
| 1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
| 1295356491 | Complex Somi LLC | Physical Therapist | 5829 Sw 73rd St Ste 2, South Miami, FL 33143-5276 | 2020-04-29 |
| 1952939043 | Fix It Physical Therapy, LLC | Physical Therapist | 8262 Griffin Rd, Davie, FL 33328-3715 | 2020-04-01 |
| 1649806449 | Korbin Joseph Keene | Physical Therapist | 1053 Medical Center Dr Ste 151, Orange City, FL 32763-8261 | 2020-03-13 |
| 1740814391 | Jessy Chang | Physical Therapist | 8615 S Tamiami Trl # 1, Sarasota, FL 34238-3052 | 2020-02-22 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on ADAM ENDRESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.