Active NPI
Carrie Williams, P.T.
- Physical Therapist
- Syracuse, NY
National Provider Identifier
1013979400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017289
- Practice address
- 4994 W Seneca Tpke
Syracuse, NY 13215-2279 - Phone
- (315) 469-5990
- Fax
- (315) 469-5650
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017289 | NY | Primary |
Addresses
Primary practice location
4994 W Seneca Tpke
Syracuse, NY 13215-2279
Mailing address
231 Walton St
Suite 200
Syracuse, NY 13202-1230
Phone (315) 478-0380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017289 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1013979400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 WALTON ST",
"address_2": "SUITE 200",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021230",
"telephone_number": "315-478-0380",
"fax_number": "315-478-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4994 W SENECA TPKE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152279",
"telephone_number": "315-469-5990",
"fax_number": "315-469-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CARRIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.