Individual provider Active NPI

Adam Freeman Bedwell, PT, DPT

  • Physical Therapist
  • Waynesboro, TN
National Provider Identifier
1821426396
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9251 Issued in TN
Practice address
514 S High St
Waynesboro, TN 38485-2615
Phone
(931) 722-2778
Fax
(931) 722-7569
NPI assigned
Oct 21, 2013
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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 9251 TN Primary

Addresses

Primary practice location

514 S High St
Waynesboro, TN 38485-2615

Mailing address

PO Box 450
Waynesboro, TN 38485-0450
Phone (931) 722-2778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309002101 TN Practitioner - Physical Therapist in Private Practice 6709102817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Prestige Physical TherapyGroup PAC ID 8729135009, 7 clinicians

Practice addresses (Care Compare)

1159 Trotwood Ave
Suite B
Columbia, TN 38401-3038
Phone (931) 901-0318

1159 Trotwood Ave B
Columbia, TN 38401-3038

135 Hwy 20
Summertown, TN 38483-7673
Phone (931) 901-0318

269 E Main St
Linden, TN 37096-3104
Phone (931) 589-3350

310 Hwy 13 S
Collinwood, TN 38450-4608
Phone (931) 722-4630

538 N Military St
Suite 200
Loretto, TN 38469-0010
Phone (931) 843-9150

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
80
Improvement activities
40
Cost
71.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9251TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Physical Therapy CurrentSince Sep 13, 2014 Accepting new patients
Sonnys Place of Waynesboro PastSince Jul 2, 2023 Accepting new patients

Locations

310 Highway 13 S
Collinwood, TN 38450
Phone (931) 722-4630

1159 Trotwood Ave
Ste B
Columbia, TN 38401
Phone (931) 901-0318

514 S High St
Waynesboro, TN 38485
Phone (931) 332-6858

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1821426396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384850450",
            "telephone_number": "931-722-2778",
            "fax_number": "931-722-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S HIGH ST",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852615",
            "telephone_number": "931-722-2778",
            "fax_number": "931-722-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDWELL",
        "first_name": "ADAM",
        "middle_name": "FREEMAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-21",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.