Active NPI
Aubrey Williams, P.T.
- Physical Therapist
- Columbia, SC
National Provider Identifier
1093001935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11281
- Practice address
- 2935 Colonial Dr
Columbia, SC 29203-6811 - Phone
- (803) 254-7777
- NPI assigned
- Jun 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11281 | SC | Primary |
Addresses
Primary practice location
2935 Colonial Dr
Columbia, SC 29203-6811
Mailing address
396 Eagle Feather Loop
Columbia, SC 29206-5090
Phone (540) 287-9572
Other names 1
- Aubrey Koon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11281 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1093001935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 EAGLE FEATHER LOOP",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292065090",
"telephone_number": "540-287-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036811",
"telephone_number": "803-254-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AUBREY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUBREY",
"last_name": "KOON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.