Individual provider Active NPI

Varron A Williams, DPT

  • Physical Therapist
  • Sunrise, FL
National Provider Identifier
1023558418
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32323 Issued in FL
Practice address
3801 N University Dr Ste 501
Sunrise, FL 33351-6320
Phone
(786) 399-5287
Fax
(754) 484-3932
NPI assigned
Mar 3, 2017
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 PT32323 FL Primary

Addresses

Primary practice location

3801 N University Dr Ste 501
Sunrise, FL 33351-6320

Mailing address

2840 NW 8TH CT
Ft Lauderdale, FL 33311-6610
Phone (786) 399-5287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603004078 FL Practitioner - Physical Therapist in Private Practice 4385086560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 N University Dr
Suite 501
Sunrise, FL 33351-6320
Phone (786) 399-5287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32323FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor's Orders Physical Therapist CurrentSince May 3, 2024 Accepting new patients

Locations

3801 N University Dr
Ste 501
Sunrise, FL 33351
Phone (786) 399-5287

Organizations & group practices 1

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": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1023558418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 NW 8TH CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116610",
            "telephone_number": "786-399-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N UNIVERSITY DR STE 501",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516320",
            "telephone_number": "786-399-5287",
            "fax_number": "754-484-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VARRON",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.