Robin M Wade, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3135 Peoples St Ste 404
Johnson City, TN 37604-4138

Phone

(423) 300-5476

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

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.

• PT Solutions LLC

  • Physical Therapist
  • Greeneville, TN
  • NPI 1184190167
  Medicare reassignment NPD
• PT Solutions LLC

  • Physical Therapist
  • Johnson City, TN
  • NPI 1962956367
  Medicare reassignment NPD
• PT Solutions, LLC

  • Physical Therapist
  • Oneida, TN
  • NPI 1235180548
  NPD
• PT Solutions, LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1730600016
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2024.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1508546136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 KENTUCKY AVE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202466",
            "telephone_number": "423-300-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 PEOPLES ST STE 404",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044138",
            "telephone_number": "423-300-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ROBIN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiona Von Almen, COTA/L
• Shane D. Vore, PMHNP-BC
• Autum Wade
• John Joseph Wade
• Nicholas Wade
• Julia Wagner
• Mariah M Wagner, PA-C
• Mary Elizabeth Wagner, M.S., CCC-SLP
• Vonda Karla Wagner, MA
• Brian Scott Wakefield, M.D.

• All providers in Johnson City, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.