Active NPI
William Henry Pierce III, LPTA
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1104079383
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 18, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTA21412
- Practice address
- 6350 Techster Blvd
Fort Myers, FL 33966-4705 - Phone
- (239) 281-3356
- Fax
- (239) 362-2272
- NPI assigned
- Oct 31, 2008
- Sex
- Male
- 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 | PTA21412 | FL | Primary |
Addresses
Primary practice location
6350 Techster Blvd
Fort Myers, FL 33966-4705
Mailing address
8461 Village Edge Circle
Unit 5
Ft Myers, FL 33919
Phone (239) 281-3356
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA21412 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1104079383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8461 VILLAGE EDGE CIRCLE",
"address_2": "UNIT 5",
"city": "FT MYERS",
"state": "FL",
"postal_code": "33919",
"telephone_number": "239-281-3356",
"fax_number": "239-362-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 TECHSTER BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664705",
"telephone_number": "239-281-3356",
"fax_number": "239-362-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTA21412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.