Active NPI
Advanced Rehabilitation Medical Services
- Physical Medicine & Rehabilitation Physician
- Port Charlotte, FL
National Provider Identifier
1174520910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME0066000
- Legal business name
- ADVANCED REHABILITATION MEDICAL SERVICES
- Practice address
- 4265 Laura St
Port Charlotte, FL 33980-2836 - Phone
- (941) 764-7117
- Fax
- (941) 764-1049
- NPI assigned
- Jul 7, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Anthony Williams, M.D.
- Title
- President
- Phone
- (941) 764-7117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME0066000 | FL | Primary |
Addresses
Primary practice location
4265 Laura St
Port Charlotte, FL 33980-2836
Mailing address
PO Box 510816
Punta Gorda, FL 33951-0816
Phone (941) 764-7117
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Port Charlotte, FL
- NPI 1689865891
-
- Family Medicine Physician
- Erie, CO
- NPI 1326029620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174520910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510816",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339510816",
"telephone_number": "941-764-7117",
"fax_number": "941-764-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4265 LAURA ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339802836",
"telephone_number": "941-764-7117",
"fax_number": "941-764-1049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED REHABILITATION MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-764-7117",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME0066000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
- Katie A Adkins, RBT
- Advanced Cardiac & Vascular Center PL
- Advanced Imaging of Port Charlotte
- Advanced Imaging of Port Charlotte LLC
- Advanced Orthopedic Center of Charlotte County, PA
- Adventhealth Home Health and Hospice Inc (Adventhealth Home Health)
- Adventhealth Port Charlotte Inc (Adventhealth Port Charlotte)
- Advocate Radiation Oncology, LLC (Inspire Oncology)
- Aegis Group Practice, LLC
- Affinity Care of Charlotte and Desoto LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.