Marco Antonio Adame' Jr., DPT, ATC
NPI 1205901352ActiveIndividual· Physical Therapist· Glendale, CA
Physical Therapist (DPT, ATC) with Jaco Rehab Kapolei Limited Partnership, practicing in Glendale, California. Medicare paid $17,379 for services to 45 patients in 2024.
Overview
| NPI | 1205901352 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, ATC |
| Sole proprietor | No |
| NPI issued | Nov 22, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 33076 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 827 across 7 procedure codes |
| Paid by Medicare | $17,379 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Jaco Rehab Kapolei Limited PartnershipKapolei, HI · 8 clinicians
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