Chapman Clay Williams, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

30939 Issued in FL

Practice address

1499 6TH St NW
Winter Haven, FL 33881-2365

Phone

(863) 293-7778

NPI assigned

Mar 26, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1215514971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 KING AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031930",
            "telephone_number": "863-899-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812365",
            "telephone_number": "863-293-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHAPMAN",
        "middle_name": "CLAY",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "30939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah M Wilkerson, ARNP-C, MSN, COHN-S
• Alicia Wilkinson-Dickens, LCSW
• Edgar H Willard, M.D.
• William Mac Vanderpool Jr
• Amanda Kay Williams
• Damesha Londrell Demara Williams
• Jamesas Williams, RN
• Kamesha M. Williams, MS
• Kristen B Williams, M.D.
• Lakeesha Williams

• Physical Medicine & Rehabilitation Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.