Van Williams Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21859 Issued in CA

Legal business name

VAN WILLIAMS PHYSICAL THERAPY

Practice address

1988 Park Marina Dr
Redding, CA 96001-0912

Phone

(530) 241-1559

Fax

(530) 241-4298

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Van Charles Williams, M.P.T.NPI 1871719716

Title

Owner/Physical Therapist

Phone

(530) 945-7294

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Van Charles Williams, MPT

  • Physical Therapist
  • Redding, CA
  • NPI 1871719716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1194123802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010912",
            "telephone_number": "530-241-1559",
            "fax_number": "530-241-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010912",
            "telephone_number": "530-241-1559",
            "fax_number": "530-241-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WILLIAMS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-945-7294",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheree Nichole Van Eyck
• Jon Alan Van Fossan
• Andrew G Van Horn-Gibson
• Samuel D Van Kirk, MD
• Andre' Van Mol, MD
• Erin Van Zanten, PT, DPT
• Paloma Vance, LEP
• Ntsaum Steve Vang, MD
• Mark C Vanloan, P.T.
• Amy Vanmeter

• Physical Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.