Kelly Nichole Williamson, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

16390 E 14TH PL
Aurora, CO 80011-7411

Phone

(205) 586-6863

NPI assigned

Apr 14, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1093334617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16390 E 14TH PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16390 E 14TH PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117411",
            "telephone_number": "205-586-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KELLY",
        "middle_name": "NICHOLE",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healeneManion@aumhc.org",
            "affiliation": "N",
            "address_1": "16390 E 14th Pl",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800117411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trevor Williams
• Tricia Williams, OTD, OTR/L
• Williamsnorris Industries
• Blair Gregory Williamson, N.P.
• C Williamson
• Samantha Elizabeth Williamson
• Timothy J Williamson, DC
• Amy Leigh Willis, M.D.
• Christopher Willis
• Edgar T Willis, BA

• Physical Therapy Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.