Active NPI
Sharlene Y Williams-Velez, PT, DPT
- Physical Therapist
- Fleming Island, FL
National Provider Identifier
1154781490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 30675
- Practice address
- 1747 Baptist Clay Dr
Suite 100
Fleming Island, FL 32003-8502 - Phone
- (904) 516-1800
- NPI assigned
- Feb 29, 2016
- 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 | PT 30675 | FL | Primary |
Addresses
Primary practice location
1747 Baptist Clay Dr
Suite 100
Fleming Island, FL 32003-8502
Mailing address
7141 Mirabelle Dr.
Jacksonville, FL 32258
Phone (904) 226-7524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 30675 | Other | FL | FL PT LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 30675 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1154781490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7141 MIRABELLE DR.",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32258",
"telephone_number": "904-226-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 BAPTIST CLAY DR",
"address_2": "SUITE 100",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320038502",
"telephone_number": "904-516-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-VELEZ",
"first_name": "SHARLENE",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 30675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL PT LICENSE",
"identifier": "PT 30675",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.