Individual provider Active NPI

Robert Kendall Gillespie, PT

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1154463628
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7564 Issued in TN
Practice address
302 Old Lebanon Dirt Rd Ste 100
Hermitage, TN 37076-2390
Phone
(615) 391-4545
Fax
(615) 391-4546
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7564 TN Primary

Addresses

Primary practice location

302 Old Lebanon Dirt Rd Ste 100
Hermitage, TN 37076-2390

Mailing address

302 Old Lebanon Dirt Rd
Hermitage, TN 37076-2386
Phone (615) 391-4545

Other practice location 1

1018 W Main St
Lebanon, TN 37087-3656
Phone (615) 391-4545

Other practice location 2

3500 N Mount Juliet Rd Ste 205
MT Juliet, TN 37122-3018
Phone (615) 391-4545

Other practice location 3

500 NorthCrest Drive, Suite 521
Springfield, TN 37172
Phone (615) 391-4545

Other identifiers 1

IdentifierTypeStateIssuer
PT7564OtherTNPHYSICAL THERAPIST LICENS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000329 TN Practitioner - Physical Therapist in Private Practice 8325148489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Bone and Joint, PLLC 12 clinicians

Practice addresses (Care Compare)

302 Old Lebanon Dirt Rd
Suite 200
Hermitage, TN 37076-2391
Phone (615) 391-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7564TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Results-Ast JV, LLC Physical Therapist CurrentSince Mar 13, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1154463628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762386",
            "telephone_number": "615-391-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD STE 100",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762390",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370873656",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 N Mount Juliet Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223018",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 NorthCrest Drive, Suite 521",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "37172",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ROBERT",
        "middle_name": "KENDALL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT7564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "PT7564",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.