✓ Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist (225100000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

NATHANIEL ADCOCK (NPI #1417569351)

Physical Therapist • ALLENTOWN, PA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1417569351
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
1925 W TURNER ST, ALLENTOWN, PA, 18104-5513
✓ 9-Digit EDI 837 ZIP+4 (18104-5513)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1417569351 (NATHANIEL ADCOCK) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1417569351)

Medicare Beneficiaries
101
Total Billed Services
3,272
Distinct CPT/HCPCS Codes
13
Medicare Allowed Total
$92,228.89

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes720
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes747
97116 Therapy procedure for walking training, each 15 minutes146
97140 Therapy procedure using manual technique, each 15 minutes670
97161 Evaluation for physical therapy, typically 20 minutes47
97162 Evaluation for physical therapy, typically 30 minutes18
97530 Therapy procedure using functional activities900
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1417569351 (NPI-1 Individual Practitioner)
Provider / Legal NameNATHANIEL ADCOCK
Plain-English SpecialtyLicensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
NUCC Code: 225100000X (Physical Therapist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1925 W TURNER ST, ALLENTOWN, PA, 18104-5513
Practice Telephone / FaxTel: (610) 794-5075
Administrative Mailing Address536 MAIN ST # B, EAST GREENVILLE, PA, 18041-1342
Enumeration & Last SyncEnumerated: 2020-08-21 | CMS Record Updated: 2020-08-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1925 W TURNER ST, ALLENTOWN, PA, 18104-5513

🗺️ Open in Google Maps 🏥 More Providers in ALLENTOWN

Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NATHANIEL ADCOCK)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
225100000X — Physical Therapist
Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
State: PA | License: PT028571 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.
Launch Bulk NPI Checker → JSON API Docs
✓ Copied to clipboard