James Clark Williams Jr., P.T., CSCS, C.PED

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005319 Issued in VA

Practice address

106 W Stuart Dr
Galax, VA 24333-2114

Phone

(276) 238-8900

Fax

(276) 238-8904

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Solutions LLCGroup PAC ID 5496668667, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PT Solutions, LLC

  • Physical Therapist
  • Wytheville, VA
  • NPI 1861946329
  Medicare reassignment Care Compare group
• Galax Rehabilitation Services, Inc.

  dba Williams Physical Therapy

  • Physical Therapist
  • Galax, VA
  • NPI 1306920244
  Authorized official Same address or phone
• PT Solutions, LLC

  • Physical Therapy Clinic/Center
  • Hillsville, VA
  • NPI 1093236374
  NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215054242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332114",
            "telephone_number": "276-238-8900",
            "fax_number": "276-238-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332114",
            "telephone_number": "276-238-8900",
            "fax_number": "276-238-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMES",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T., CSCS, C.PED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Whitley
• Thomas Slade Whittle Jr., MD
• Amanda Widner, CSAC
• William Furrow (Accent Opticial)
• James A Williams Jr., OD
• James Nathan Williams, OD
• Josee Williams, P.T., CSCS, CERT MDT
• Lindi Marie Williams, OD
• David Wilson, P.T.,C.W.S
• Martha L Wilson, M.D.

• Physical Therapist in Galax, VA
• Providers in Galax, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.