Bethany C Williams

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3700 Grant Dr
Ste a
Reno, NV 89509-5309

Phone

(775) 829-4700

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dynamic Movement Physical Therapy Inc

  • Physical Therapy Assistant
  • Reno, NV
  • NPI 1942337332

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1043426307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 PERLITE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895219614",
            "telephone_number": "775-829-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 GRANT DR",
            "address_2": "STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095309",
            "telephone_number": "775-829-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BETHANY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0361",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003416422",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Nicole Williams Brown
• Angela Williams-Tanghal
• Aaron Lindon Williams, APRN
• Aijanique Williams
• Annabelle Williams
• Brandy Williams
• Brooke Frances Williams
• Carol Eilene Williams, M.A. MFT
• Chandra M Williams
• Charles Williams

• Rehabilitation Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Rehabilitation Practitioner in Nevada

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