Kali Suzanne Williamson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0219816 Issued in TX

Practice address

2485 S Major Dr
Beaumont, TX 77707-5019

Phone

(409) 861-4611

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1144700170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 MAGNOLIA TRCE",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776563152",
            "telephone_number": "409-828-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 S MAJOR DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777075019",
            "telephone_number": "409-861-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KALI",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "0219816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Lyn Williams, R.T.(R)(M)(CT)(ARRT)
• Roland Melvin Williams, DDS
• Stephanie Angela Williams, FNP-C
• Steven Chad Williams, CRNA
• Thomas Ford Williams, D.D.S.
• Brianna Willis, O.D.
• Jason J Willis, DPM
• Wilson Chiropractic
• Caleb T Wilson
• Cameron Dawn Wilson

• Physical Therapy Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.