Provider Demographics
NPI:1215740907
Name:ADAPT PT LLC
Entity type:Organization
Organization Name:ADAPT PT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ATHLETIC TRAINER
Authorized Official - Prefix:
Authorized Official - First Name:DONOVAN
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:ASHTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, LAT, ATC
Authorized Official - Phone:570-877-7209
Mailing Address - Street 1:17B COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2094
Mailing Address - Country:US
Mailing Address - Phone:570-877-7209
Mailing Address - Fax:
Practice Address - Street 1:17B COMMERCE ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2094
Practice Address - Country:US
Practice Address - Phone:570-877-7209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy