Individual provider Active NPI

Adam Patrick Wille, MPT

  • Physical Therapist
  • Brentwood, TN
National Provider Identifier
1295877942
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13461 Issued in TN
Practice address
1195 Old Hickory Blvd Ste 100
Brentwood, TN 37027-4239
Phone
(615) 377-8773
Fax
(615) 377-8775
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070013945 IL
Physical Therapist 225100000X 13461 TN Primary

Addresses

Primary practice location

1195 Old Hickory Blvd Ste 100
Brentwood, TN 37027-4239

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

1031 N Clark St
Chicago, IL 60610
Phone (312) 951-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120809000558 IL Practitioner - Physical Therapist in Private Practice 8820244684 Reassigns benefits to 1 organization
I20210601002593 TN Practitioner - Physical Therapist in Private Practice 8820244684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

1195 Old Hickory Blvd
Suite 100
Brentwood, TN 37027-4239
Phone (615) 377-8773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070013945ILMDPhysical Therapist
13461TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients

Locations

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

1031 N Clark St
Chicago, IL 60610
Phone (312) 951-9700

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

6688 Nolensville Rd
Ste 112
Brentwood, TN 37027
Phone (615) 933-5150

1195 Old Hickory Blvd
Ste 100
Brentwood, TN 37027
Phone (615) 377-8773

1120 Sams St
Cookeville, TN 38506
Phone (931) 528-7312

210 Creekside Dr
Dickson, TN 37055
Phone (615) 446-7623

2001 Mallory Ln
Ste 204
Franklin, TN 37067
Phone (615) 550-0005

2001 Mallory Ln
Ste 201
Franklin, TN 37067
Phone (615) 771-0134

109 Del Rio Pike
Ste 105
Franklin, TN 37064
Phone (615) 656-0345

3046 Columbia Ave
Ste 108
Franklin, TN 37064
Phone (615) 550-0000

5073 Main St
Ste 120
Spring Hill, TN 37174
Phone (615) 302-3564

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

Organizations & group practices 4

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1295877942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-377-8773",
            "fax_number": "615-377-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 N CLARK ST",
            "address_purpose": "LOCATION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60610",
            "country_code": "US",
            "telephone_number": "312-951-9700",
            "fax_number": "312-951-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLE",
        "first_name": "ADAM",
        "middle_name": "PATRICK",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013945",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.