Jason A Wilder, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5832 Issued in TN

Practice address

210 S Cumberland St
Morristown, TN 37813-2301

Phone

(423) 585-5023

Fax

(423) 587-4553

NPI assigned

Apr 26, 2006

Sex

Male

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.

• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist, TN

  Medicare reassignment Care Compare group NPD
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  Care Compare group NPD
• Apex Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Morristown, TN
  • NPI 1700030970
  NPD (past) Authorized official
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1699403006
  Care Compare group
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • McKinney, TX
  • NPI 1659954931
  Care Compare group
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1649434994
  NPD

Specialty

Physical Therapist in Private Practice

Education

University of Tennessee, HSC, College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agilitas USA, Inc 812 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1679539670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S CUMBERLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132301",
            "telephone_number": "423-585-5023",
            "fax_number": "423-587-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10321 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223224",
            "country_code": "US",
            "telephone_number": "865-694-8353",
            "fax_number": "865-693-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Whitelaw, FNP-BC
• Nathan Wicker
• Cam McKay Wiehe, OD
• Kayla Wigle, RN
• Brittney Sherree Wilder, PHARM.D.
• Katie Wilder, B.S.
• Melissa Sue Wiley, PA-C
• Julie C Wilkins, CRNA
• David V Willbanks, MD
• William J Williams DO PC

• All providers in Morristown, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.