Individual provider Active NPI

Keith D Williamson, P.T.

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1083919872
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8861 Issued in TN
Practice address
4027 Hillsboro Pike Ste 801
Nashville, TN 37215-2734
Phone
(615) 385-2201
Fax
(615) 383-8590
NPI assigned
Jan 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 8861 TN Primary

Addresses

Primary practice location

4027 Hillsboro Pike Ste 801
Nashville, TN 37215-2734

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

4230 Harding Pike Ste 400
Nashville, TN 37205-4900
Phone (615) 921-6504

Other practice location 2

222 22nd Ave N Ste 100
Nashville, TN 37203-0807
Phone (615) 440-3124

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

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1083919872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 HILLSBORO PIKE STE 801",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152734",
            "telephone_number": "615-385-2201",
            "fax_number": "615-383-8590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 Harding Pike Ste 400",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372054900",
            "country_code": "US",
            "telephone_number": "615-921-6504",
            "fax_number": "615-921-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 22nd Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372030807",
            "country_code": "US",
            "telephone_number": "615-440-3124",
            "fax_number": "615-713-1547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.