Teri Ann Williamson, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4632 Issued in MS

Practice address

4347 W Gay Rd
Diberville, MS 39540-3412

Phone

(228) 392-8484

NPI assigned

Aug 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Teri Ann Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1003598319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 W GAY RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 W GAY RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403412",
            "telephone_number": "228-392-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "TERI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "BROWN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Rhea Webb, BCBA
• Wells of Life Counseling LLC
• Shannon G Whitaker, RPH
• Leslie Michelle White, ED.S
• Kelcie Wilding
• Aimee M Wilson, PH.D.
• Chelsey E Windham, NP-C
• Yvette M Champagne

• All providers in Diberville, MS
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.