Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM BEADERSTADT, PTA
ActiveADAM BEADERSTADT, PTA is a Occupational Therapist healthcare provider located in IDAHO FALLS, Idaho. NPI 1730935420 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1730935420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2024 (2.2631595195726 yrs)
- Last Updated
- Sep 29, 2025
- License
-
PTA8267 (ID)
Practice Information
- Address
-
2037 E 17TH STIDAHO FALLS, ID, 834046430Browse ID providers · Browse ZIP 83404
- Phone
- 2085293355
- Fax
- 2085299581
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. BREANNA L KUMP | PTA-288 | 1982976767 |
| RAYMOND WAYNE | PTA | 1386013373 |
| KASSANDRA NOELLE STINE | PTA | 1427572791 |
| HEATHER MICHELE SMITH | PTA | 1588173959 |
| SHELBY ANN MASON | PTA | 1538676234 |
| JAMIE LYN SEELEY | PTA | 1144784349 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.