Active NPI
Shelby Lee Williams, DPT
- Physical Therapist
- Inman, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9454
- Practice address
- 13021 Asheville Hwy
Inman, SC 29349-7687 - Phone
- (864) 416-1289
- NPI assigned
- Nov 7, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | P21175 | NC | |
| Physical Therapist | 225100000X | 9454 | SC | Primary |
Addresses
Primary practice location
13021 Asheville Hwy
Inman, SC 29349-7687
Mailing address
60 Shuford Rd
Columbus, NC 28722-7406
Phone (828) 894-0277
Other practice location 1
60 Shuford Rd
Columbus, NC 28722-7406
Phone (828) 894-0277
Other practice location 2
1109 E Rutherford St
Ste A
Landrum, SC 29356
Phone (864) 457-1077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9454 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
60 Shuford Rd
Columbus, NC 28722
Phone (828) 894-0277
1109 E Rutherford St
#A
Landrum, SC 29356
Phone (864) 457-1077
535 Laurens Rd
Woodruff, SC 29388
Phone (864) 476-6600
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1063980100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 SHUFORD RD",
"city": "COLUMBUS",
"state": "NC",
"postal_code": "287227406",
"telephone_number": "828-894-0277",
"fax_number": "828-894-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13021 ASHEVILLE HWY",
"city": "INMAN",
"state": "SC",
"postal_code": "293497687",
"telephone_number": "864-416-1289"
}
],
"practiceLocations": [
{
"address_1": "60 Shuford Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "NC",
"postal_code": "287227406",
"country_code": "US",
"telephone_number": "828-894-0277",
"fax_number": "828-894-0278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1109 E Rutherford St",
"address_2": "Ste A",
"address_purpose": "LOCATION",
"city": "Landrum",
"state": "SC",
"postal_code": "29356",
"country_code": "US",
"telephone_number": "864-457-1077",
"fax_number": "864-457-1079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHELBY",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2022-08-01",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21175",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.