Individual provider Active NPI

William Douglas James, D.P.T.

  • Physical Therapist
  • Minden, LA
National Provider Identifier
1124403555
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08023 Issued in LA
Practice address
111 Ryans Way
Minden, LA 71055-4231
Phone
(318) 636-8046
Fax
(318) 636-8036
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08023 LA Primary

Addresses

Primary practice location

111 Ryans Way
Minden, LA 71055-4231

Mailing address

PO Box 332
Stonewall, LA 71078-0332
Phone (318) 636-8046

Other practice location 1

318 Plantation Hills Blvd
Stonewall, LA 71078-9415
Phone (318) 775-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225001064 LA Practitioner - Physical Therapist in Private Practice 5991009607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benton Physical Therapy, LLCGroup PAC ID 2769740737, 5 clinicians
Desoto Physical Therapy, LLCGroup PAC ID 6204139926, 5 clinicians

Practice addresses (Care Compare)

235 Fairburn Ave
Benton, LA 71006-3418
Phone (318) 935-9075

235 Fairburn Ave
Benton, LA 71006-3502

318 Plantation Hills Blvd
Stonewall, LA 71078-2838
Phone (318) 775-9870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08023LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benton Physical Therapy, LLC CurrentSince Oct 3, 2017 Accepting new patients
Minden Physical Therapy LLC Physical Therapist CurrentSince Feb 25, 2024 Accepting new patients
Desoto Physical Therapy, L.L.C. Physical Therapist CurrentSince Aug 24, 2015 Accepting new patients
Winnfield Physical Therapy LLC Physical Therapist PastSince Feb 14, 2023 Accepting new patients

Locations

235 Fairburn Ave
Benton, LA 71006
Phone (318) 935-9075

111 Ryans Way
Minden, LA 71055
Phone (318) 299-3012

2070 Highway 171
Ste A
Stonewall, LA 71078
Phone (318) 775-9870

2070 Highway 171
Ste C
Stonewall, LA 71078
Phone (318) 775-9870

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1124403555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710780332",
            "telephone_number": "318-636-8046",
            "fax_number": "318-636-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RYANS WAY",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710554231",
            "telephone_number": "318-636-8046",
            "fax_number": "318-636-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 Plantation Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Stonewall",
            "state": "LA",
            "postal_code": "710789415",
            "country_code": "US",
            "telephone_number": "318-775-9870",
            "fax_number": "318-775-9884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "WILLIAM",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.