Evan Matthew Williams

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

T-05968 Issued in KS

Practice address

8550 Marshall Dr, Ste 210
Lenexa, KS 66214

Phone

(913) 492-0333

Fax

(913) 492-0334

NPI assigned

Jun 26, 2023

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 KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freedom Physical Therapy and Training Center PAGroup PAC ID 1153649777, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Freedom Physical Therapy and Training Center PA

  • Physical Therapy Clinic/Center
  • Shawnee, KS
  • NPI 1609267913

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Spectrum Private Care Services, LLC

  • Home Health Agency
  • Shawnee, KS
  • NPI 1205832987
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1083390884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W. DOUGLAS AVE, STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67202",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR, STE 210",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-492-0333",
            "fax_number": "913-492-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EVAN",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T-05968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Wilcox
• Elizabeth Willens, DNP, APRN, PMHNP
• Angela D. Williams
• Benjamin Clay Williams, MD
• Danika Williams
• Kathi Jo Williams, LCMFT
• Andrew Mackay Williamson
• Marie Willis, AU.D., CCC-A, F-AAA
• Laura Willoughby
• Willow ABA Services LLC

• Physical Therapist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.