ADAM CONKLING (DPT) – Physical Therapist, NPI 1336998467

ADAM CONKLING (DPT) is a healthcare provider. based in Fort wayne, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for ADAM CONKLING (DPT) is 1336998467

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ADAM CONKLING (DPT)
NPI
1336998467
Phone
(260) 497-7191
Address
12844 COLDWATER RD STE B
Enumeration Date
13 May 2024
Last Update Date
13 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604977191
Graduation Year
2024 (2 years ago)
PAC ID
5294277562
Group Practice PAC ID
3476516071
Professional Enrollment ID
I20240603002447
Address ID
IN468040000FO4025XCROS400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for ADAM CONKLING (DPT)

  • 12844 COLDWATER RD STE B

    FORT WAYNE, IN 468458833

    Phone: (260) 497-7191

    Type: Mailing

  • 4025 SAGE BLUFF XING

    FORT WAYNE, IN 468042365

    Phone: (260) 497-7191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240603002447IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476516071View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Can I verify ADAM CONKLING (DPT) with an NPI only?
You can start verification with NPI 1336998467 for ADAM CONKLING (DPT), then check state licensing separately.
Is ADAM CONKLING (DPT) listed as active for patients and plans?
The listing shows ADAM CONKLING (DPT) as active in the NPI system.
What is ADAM CONKLING (DPT) best known for clinically?
Directory data describes ADAM CONKLING (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect ADAM CONKLING (DPT) on a map?
Expect Fort Wayne, Indiana as a primary anchor for ADAM CONKLING (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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