Active NPI
Devon Lamont Williams
- Physical Therapist
- Middletown, DE
National Provider Identifier
1215706874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT031650
- Practice address
- 739 Pinewood Dr
Middletown, DE 19709-8644 - Phone
- (302) 376-0798
- NPI assigned
- Dec 25, 2023
- Last updated
- Dec 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT031650 | PA | Primary |
Addresses
Primary practice location
739 Pinewood Dr
Middletown, DE 19709-8644
Mailing address
739 Pinewood Dr
Middletown, DE 19709-8644
Phone (302) 312-6173
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT031650 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703462400000",
"number": "1215706874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 PINEWOOD DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197098644",
"telephone_number": "302-312-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 PINEWOOD DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197098644",
"telephone_number": "302-376-0798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DEVON",
"middle_name": "LAMONT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-25",
"last_updated": "2023-12-25",
"certification_date": "2023-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT031650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.