Provider Demographics
NPI:1912065012
Name:ADAMS, SHAWN CHRISTOPHER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:CHRISTOPHER
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PT, DPT
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 9688
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0030
Mailing Address - Country:US
Mailing Address - Phone:479-582-4647
Mailing Address - Fax:479-582-4660
Practice Address - Street 1:3733 N BUSINESS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5203
Practice Address - Country:US
Practice Address - Phone:479-582-4647
Practice Address - Fax:479-582-4660
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 2912225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5A011OtherBCBS ID NUMBER