Individual provider Active NPI

Kristin Price Williams

  • Physical Therapist
  • West Terre Haute, IN
National Provider Identifier
1174946594
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003990A Issued in IN
Practice address
3641 Saint Mary'S Road
West Terre Haute, IN 47885
Phone
(812) 917-5618
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
05003990AINMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05003990A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

3641 Saint Mary'S Road
West Terre Haute, IN 47885

Mailing address

3615 Bluegrass LN
Terre Haute, IN 47802-9219
Phone (812) 235-9209

Other names 1

NPPES NPI Registry
  • Kristin Price Williams Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2014.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1174946594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 BLUEGRASS LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478029219",
            "telephone_number": "812-235-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 SAINT MARY'S ROAD",
            "city": "WEST TERRE HAUTE",
            "state": "IN",
            "postal_code": "47885",
            "telephone_number": "812-917-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTIN",
        "middle_name": "PRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003990A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WILLIAMS",
            "middle_name": "PRICE",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.