Individual provider Active NPI

Adam Perry

  • Physical Therapist
  • Maumelle, AR
National Provider Identifier
1376922492
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5655 Issued in AR
Practice address
115 Audubon Dr Ste 9
Maumelle, AR 72113-7409
Phone
(501) 255-3699
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11309 TN
Physical Therapist 225100000X 5840 MS
Physical Therapist 225100000X PT5655 AR Primary

Addresses

Primary practice location

115 Audubon Dr Ste 9
Maumelle, AR 72113-7409

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

875 W Poplar Ave Ste 18
Collierville, TN 38017-2568
Phone (901) 850-5742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151012001657 MS Practitioner - Physical Therapist in Private Practice 3971818964 Reassigns benefits to 1 organization
I20170803003483 TN Practitioner - Physical Therapist in Private Practice 3971818964 Reassigns benefits to 1 organization
I20250812004187 AR Practitioner - Physical Therapist in Private Practice 3971818964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians

Practice addresses (Care Compare)

115 Audubon Dr
Suite 9
Maumelle, AR 72113-7409
Phone (501) 255-3699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11309TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Jul 15, 2025 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Jul 15, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 31, 2015 Accepting new patients
Agilitas USA, Inc CurrentSince Jun 5, 2017 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 31, 2015 Accepting new patients

Locations

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

115 Audubon Dr
Ste 9
Maumelle, AR 72113
Phone (501) 255-3699

2603 W Pleasant Grove Rd
Ste 104
Rogers, AR 72758
Phone (479) 636-1187

3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060

875 W Poplar Ave
Ste 18
Collierville, TN 38017
Phone (901) 850-5742

2257 N Germantown Pkwy
Ste 101
Cordova, TN 38016
Phone (901) 759-9210

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

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

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 5

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1376922492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AUDUBON DR STE 9",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137409",
            "telephone_number": "501-255-3699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 W Poplar Ave Ste 18",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380172568",
            "country_code": "US",
            "telephone_number": "901-850-5742",
            "fax_number": "901-850-5701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11309",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "5840",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.