Individual provider Active NPI

Shanelle Lashaun Williams, PTA

  • Physical Therapist
  • Lanham, MD
National Provider Identifier
1265258487
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
A4580 Issued in MD
Practice address
9841 Greenbelt Rd Ste 103
Lanham, MD 20706-6216
Phone
(301) 220-2316
Fax
(301) 220-2319
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X A4580 MD Primary

Addresses

Primary practice location

9841 Greenbelt Rd Ste 103
Lanham, MD 20706-6216

Mailing address

9841 Greenbelt Rd Ste 103
Lanham, MD 20706-6216
Phone (301) 220-2316

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

LicenseStateTypeSpecialty
A4580MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Rehabilitative Therapy, Inc Physical Therapist CurrentSince Dec 8, 2024 Accepting new patients

Locations

9841 Greenbelt Rd
Ste 103
Lanham, MD 20706
Phone (301) 220-2316

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1265258487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 GREENBELT RD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066216",
            "telephone_number": "301-220-2316",
            "fax_number": "301-220-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 GREENBELT RD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066216",
            "telephone_number": "301-220-2316",
            "fax_number": "301-220-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANELLE",
        "middle_name": "LASHAUN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "A4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.