Individual provider Active NPI

Robert Scott Gifford Wild, PT

  • Physical Therapist
  • Franklin, TN
National Provider Identifier
1437616562
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12079 Issued in TN
Practice address
3000 Edward Curd LN
Franklin, TN 37067-5791
Phone
(615) 791-2630
Fax
(615) 791-2639
NPI assigned
Feb 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 12079 TN Primary

Addresses

Primary practice location

3000 Edward Curd LN
Franklin, TN 37067-5791

Mailing address

3000 Edward Curd LN
Franklin, TN 37067-5791
Phone (615) 791-2630

Other practice location 1

8 City Blvd
Ste 200
Nashville, TN 37209
Phone (615) 329-6600

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520002940 TN Practitioner - Physical Therapist in Private Practice 3375886021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
60.13
Promoting interoperability
99
Improvement activities
40
Cost
69.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bone and Joint Institute of Tennessee Inc CurrentSince Jul 16, 2024 Accepting new patients
Bone and Joint Institute of Tennessee Inc CurrentSince Jul 16, 2024 Accepting new patients

Locations

3000 Edward Curd Ln
Franklin, TN 37067
Phone (615) 791-2630

Interoperability endpoints

  • Direct secure messaging: robert.wild.p2@direct.toa.nextgenshare.com
  • Direct secure messaging: robert.wild.p3@direct.toa.nextgenshare.com
  • Direct secure messaging: robert.wild.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: robert.wild.1@21476.direct.athenahealth.com

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1437616562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EDWARD CURD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675791",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 EDWARD CURD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675791",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 City Blvd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37209",
            "country_code": "US",
            "telephone_number": "615-329-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILD",
        "first_name": "ROBERT",
        "middle_name": "SCOTT GIFFORD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.