Provider Demographics
NPI:1396289039
Name:GILBERT, ADAM JAMES (PT, DPT, COMT, CSCS)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JAMES
Last Name:GILBERT
Suffix:
Gender:M
Credentials:PT, DPT, COMT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:HUNTINGBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47542-0225
Mailing Address - Country:US
Mailing Address - Phone:616-890-7117
Mailing Address - Fax:
Practice Address - Street 1:307 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGBURG
Practice Address - State:IN
Practice Address - Zip Code:47542-1344
Practice Address - Country:US
Practice Address - Phone:812-683-5555
Practice Address - Fax:812-683-1111
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05011801A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist