Individual provider Active NPI

Cherie Deborah Williams, PT

  • Physical Therapist
  • Sumter, SC
National Provider Identifier
1275584393
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4946 Issued in SC
Practice address
1185 Wilson Hall Rd
Sumter, SC 29150-1842
Phone
(803) 469-3213
Fax
(803) 469-3233
NPI assigned
May 13, 2006
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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 4946 SC Primary

Addresses

Primary practice location

1185 Wilson Hall Rd
Sumter, SC 29150-1842

Mailing address

1185 Wilson Hall Rd
Sumter, SC 29150-1842
Phone (803) 469-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000780 SC Practitioner - Physical Therapist in Private Practice 9133198682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4946SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sumter Physical Therapy Clinic, LLC Physical Therapist CurrentSince Aug 9, 2004 Accepting new patients
McLeod Health Clarendon PastSince Aug 9, 2004 Accepting new patients

Locations

1185 Wilson Hall Rd
Sumter, SC 29150
Phone (803) 469-3213

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1275584393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501842",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501842",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHERIE",
        "middle_name": "DEBORAH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.