Austin Tyler Williams, PT, DPT, OCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2019021047 Issued in MO

Practice address

1629 NE Westwind Dr
Lees Summit, MO 64086-5806

Phone

(816) 944-6825

Fax

(816) 548-1024

NPI assigned

Aug 13, 2020

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

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortho Coach LLCGroup PAC ID 1052786555, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ortho Coach LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1225758519

  MO

  Medicare reassignment Care Compare group NPD Authorized official
• Knapp Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Lees Summit, MO
  • NPI 1790140424

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1013528066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 NE WESTWIND DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865806",
            "telephone_number": "816-944-6825",
            "fax_number": "816-548-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 NE WESTWIND DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865806",
            "telephone_number": "816-944-6825",
            "fax_number": "816-548-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AUSTIN",
        "middle_name": "TYLER",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019021047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Wilcox
• Sara H Wilhite, DMD
• Mark S Wilkes, CRNA
• Mary B Wilkinson, D.D.S.
• William E. Luther, Jr., D.D.S., L.L.C.
• Debra Lynn Williams, MD
• Douglas Wayne Williams, DPH
• James M Williams, DDS
• Jasmine Williams
• Leslie K Williams, FNP

• Physical Therapist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.