Individual provider Active NPI

Adam Carlisle Wilkinson, PT, DPT

  • Physical Therapist
  • Cartersville, GA
National Provider Identifier
1669780185
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010085 Issued in GA
Practice address
695 Henderson Dr
Cartersville, GA 30120-3738
Phone
(770) 386-6300
Fax
(770) 382-0791
NPI assigned
Sep 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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 PT010085 GA Primary

Addresses

Primary practice location

695 Henderson Dr
Cartersville, GA 30120-3738

Mailing address

695 Henderson Dr
Cartersville, GA 30120-3738
Phone (770) 386-6300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226002121 GA Practitioner - Physical Therapist in Private Practice 5698138691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Physiotherapy Associates, Inc Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

3200 Downwood Cir NW
Ste 350
Atlanta, GA 30327
Phone (404) 355-2913

695 Henderson Dr
Cartersville, GA 30120
Phone (770) 386-6300

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

Organizations & group practices 3

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1669780185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 HENDERSON DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203738",
            "telephone_number": "770-386-6300",
            "fax_number": "770-382-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 HENDERSON DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203738",
            "telephone_number": "770-386-6300",
            "fax_number": "770-382-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "ADAM",
        "middle_name": "CARLISLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.