Individual provider Active NPI

Sheena Lynn Willams, LPTA

  • Physical Therapy Assistant
  • Summersville, WV
National Provider Identifier
1114196839
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1458 Issued in WV
Practice address
207 Merchants Walk
Summersville, WV 26651-1901
Phone
(304) 872-7498
Fax
(304) 872-8144
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1458 WV Primary

Addresses

Primary practice location

207 Merchants Walk
Summersville, WV 26651-1901

Mailing address

PO Box 987
Summersville, WV 26651-0987
Phone (304) 872-7498

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

State licenses

LicenseStateTypeSpecialty
1458WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Physical Therapy & Sports Medicine PastSince Jun 18, 2001 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1114196839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266510987",
            "telephone_number": "304-872-7498",
            "fax_number": "304-872-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MERCHANTS WALK",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511901",
            "telephone_number": "304-872-7498",
            "fax_number": "304-872-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLAMS",
        "first_name": "SHEENA",
        "middle_name": "LYNN",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.