Joshua Fajardo William, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044353 Issued in NY

Practice address

210 E 64TH St FL 5
New York, NY 10065-7471

Phone

(212) 434-2700

NPI assigned

Dec 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jwilliam64202@northwell.direct-ci.com

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1003453382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 27TH ST APT 20J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169258",
            "telephone_number": "559-892-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 64TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657471",
            "telephone_number": "212-434-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAM",
        "first_name": "JOSHUA",
        "middle_name": "FAJARDO",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William T. Lent, LCSW, LLC
• William Todd Anderson, PHD, Psychoanalysis, P.C.
• William Winter, MD, PLLC
• William Wolfson DMD PC
• David William
• Williams and Okin Chiropactic, P.C.
• Keeneya H Williams Glenn
• Catherine Williams Hall, NURSE PRACTITIONER
• Williams PT PC
• Xajaah Williams-Flores, LMSW

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.