Provider Demographics
NPI:1386760049
Name:FRANK, ADAM C (PT)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:C
Last Name:FRANK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 E MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:PORT MATILDA
Mailing Address - State:PA
Mailing Address - Zip Code:16870-8539
Mailing Address - Country:US
Mailing Address - Phone:814-238-3485
Mailing Address - Fax:814-692-2272
Practice Address - Street 1:785 E MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:PORT MATILDA
Practice Address - State:PA
Practice Address - Zip Code:16870-8539
Practice Address - Country:US
Practice Address - Phone:814-238-3485
Practice Address - Fax:814-692-2272
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013041-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist