Provider Demographics
NPI:1447489729
Name:ENGEL, ADAM (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:ENGEL
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:UNIVERSITY OF COLORADO BOULDER
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80309-0001
Mailing Address - Country:US
Mailing Address - Phone:303-492-5101
Mailing Address - Fax:303-492-6861
Practice Address - Street 1:UNIVERSITY OF COLORADO BOULDER
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-2546
Practice Address - Country:US
Practice Address - Phone:303-492-5101
Practice Address - Fax:303-492-6861
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0010459225100000X
COPTL-10459225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist