Individual provider Active NPI

Gabrielle Williams

  • Physical Therapist
  • Dothan, AL
National Provider Identifier
1285498519
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11686 Issued in AL
Practice address
4300 W Main St Ste 14
Dothan, AL 36305-1311
Phone
(334) 758-8288
Fax
(334) 758-6988
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 PTH11686 AL Primary

Addresses

Primary practice location

4300 W Main St Ste 14
Dothan, AL 36305-1311

Mailing address

1711 College Ave
Jackson, AL 36545-2425
Phone (251) 246-5761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325001209 AL Practitioner - Physical Therapist in Private Practice 6608213731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthactions PAGroup PAC ID 3476535881, 19 clinicians

Practice addresses (Care Compare)

4300 W Main St
Suite 14
Dothan, AL 36305-1311
Phone (334) 615-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11686ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthactions PA Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients

Locations

4300 W Main St
Ste 14
Dothan, AL 36305
Phone (334) 793-2663

1207 Ross Clark Cir
Dothan, AL 36301
Phone (334) 500-1150

1109 Boll Weevil Cir
Ste 2
Enterprise, AL 36330
Phone (334) 828-7591

1711 College Ave
Jackson, AL 36545
Phone (251) 246-5761

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, 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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1285498519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452425",
            "telephone_number": "251-246-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 14",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051311",
            "telephone_number": "334-758-8288",
            "fax_number": "334-758-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.