Active NPI
Jay C Willard Jr., PT, DPT
- Physical Therapist
- Knoxville, TN
National Provider Identifier
1710239595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6913
- Practice address
- 1619 Hightop TRL
Knoxville, TN 37923-1118 - Phone
- (865) 584-1054
- NPI assigned
- Oct 4, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Physical Medicine & Rehabilitation Physician
- Knoxville, TN
- NPI 1396939799
Physical Therapist, TN
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1497050033
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1881636488
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1033447008
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1053392043
-
- Multi-Specialty Clinic/Center
- Powell, TN
- NPI 1518043751
-
- Physical Therapist
- Knoxville, TN
- NPI 1336199033
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apple Healthcare Group PC
Practice addresses (Care Compare)
4307 Ball Camp Pike
Knoxville, TN 37921-3313
Phone (865) 524-1234
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.88 of 100
- Quality
- 81.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.94
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130109000515 | TN | Practitioner - Physical Therapist in Private Practice | 0749433399 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6913 | TN | MD | Clinical Social Worker |
| PT6913 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Healthcare Group, PC | Physical Therapist | Current | Accepting new patients |
| Apple Healthcare Group | Current | Accepting new patients | |
| Orthotennessee | Physical Therapist | Past | Accepting new patients |
| Hovis Orthopaedic Clinic PC | Past | Accepting new patients | |
| Orthotennessee, PC | Past | Accepting new patients | |
| Familycare Specialists PC | Past | Accepting new patients | |
| Covenant Medical Group, Inc | Past | Accepting new patients | |
| Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
| Covenant Medical Group, Inc. | Past | Accepting new patients |
Locations
312 Prosperity Dr
Ste 101
Knoxville, TN 37923
Phone (865) 524-1234
4307 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 524-1234
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jay.willard.p1@direct.orthotn.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6913 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1619 Hightop TRL
Knoxville, TN 37923-1118
Mailing address
1619 Hightop TRL
Knoxville, TN 37923-1118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2025.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1710239595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 HIGHTOP TRL",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379231118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 HIGHTOP TRL",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379231118",
"telephone_number": "865-584-1054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "JAY",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT6913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.