Active NPI
Robert Kendall Gillespie, PT
- Physical Therapist
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT7564 | Other | TN | PHYSICAL THERAPIST LICENS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT7564 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results-Ast JV, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
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.