Active NPI
John E Williams, RPT
- Physical Therapist
- Princeton, WV
National Provider Identifier
1255420683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 67
- Practice address
- 100 New Hope Road
#10 Medical Arts Clinic
Princeton, WV 24740 - Phone
- (304) 425-8853
- Fax
- (304) 425-8853
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 67 | WV | Primary |
Addresses
Primary practice location
100 New Hope Road
#10 Medical Arts Clinic
Princeton, WV 24740
Mailing address
100 New Hope Road
#10 Medical Arts Clinic
Princeton, WV 24740
Phone (304) 425-8853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156570000 | Medicaid | WV |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255420683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NEW HOPE ROAD",
"address_2": "#10 MEDICAL ARTS CLINIC",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-425-8853",
"fax_number": "304-425-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NEW HOPE ROAD",
"address_2": "#10 MEDICAL ARTS CLINIC",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-425-8853",
"fax_number": "304-425-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "67",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156570000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.