Active NPI
Jennifer B Williams, PT
- Physical Therapist
- Taylors, SC
National Provider Identifier
1114975026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4816
- Practice address
- 3014 Wade Hampton Blvd
Suite B
Taylors, SC 29687-2716 - Phone
- (864) 363-7046
- NPI assigned
- May 4, 2006
- Last updated
- May 9, 2012
- 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 | 4816 | SC | Primary |
Addresses
Primary practice location
3014 Wade Hampton Blvd
Suite B
Taylors, SC 29687-2716
Mailing address
3014 Wade Hampton Blvd
Suite B
Taylors, SC 29687-2716
Phone (864) 363-7046
Other names 1
- Jennifer B Campbell
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 |
|---|---|---|---|
| 4816 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ats Kids LLC | Physical Therapist | Past | Accepting new patients |
| Advanced Therapy Solutions, Inc. | Physical Therapist | Past | Accepting new patients |
| Advanced Therapy Solutions, Inc. | Physical Therapist | Past | Accepting new patients |
| Willow Tree Wellness & Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Taylors, SC
- NPI 1801029426
-
- Physical Therapist
- Spartanburg, SC
- NPI 1235197914
-
- Physical Therapist
- Spartanburg, SC
- NPI 1700055415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1114975026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 WADE HAMPTON BLVD",
"address_2": "SUITE B",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296872716",
"telephone_number": "864-363-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3014 WADE HAMPTON BLVD",
"address_2": "SUITE B",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296872716",
"telephone_number": "864-363-7046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CAMPBELL",
"middle_name": "B",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Taylors, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.