Amy Adams, PT
Individual provider Active NPI Physical Therapist · Milan, TN
NPI 1780959015 · NPPES record last updated Mar 20, 2012
Key facts
- NPI
- 1780959015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8718 (TN)
- Practice address
- 2084 W Main St
Milan, TN 38358-3515 - Phone
- (731) 686-8321
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230307000521 | TN | Practitioner - Physical Therapist in Private Practice | 3678946993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy & Learning Center Inc | Current |
Accepting new patients | |
| Therapy & Learning Center Inc | Past | Accepting new patients |
Locations
34 Garland Dr
Jackson, TN 38305
Phone (731) 668-3322
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
32 Garland Dr
Jackson, TN 38305
Phone (731) 664-3645
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8718 | TN | Yes |
Addresses
Primary practice location
2084 W Main St
Milan, TN 38358-3515
Mailing address
1103 Crowne Pointe Dr
Newbern, TN 38059-5459
Phone (731) 697-3736
Other providers in Milan, TN
All providers in Milan, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.