Susan Marie Williams, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

OPT79060 Issued in CA

Practice address

5990 Silver Lake Rd,
Suite D
Reno, NV 89506

Phone

(775) 337-8776

Fax

(775) 337-8778

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ross E. Waltz PT

  • Physical Therapist
  • Reno, NV
  • NPI 1972604122
  NPD (past)
• New Edge Physical Therapy Inc

  • Physical Therapist
  • Penn Valley, CA
  • NPI 1477196111
  NPD (past)
• Wildwood Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Penn Valley, CA
  • NPI 1952300782
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295745206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 9270",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "96162",
            "telephone_number": "530-587-2356",
            "fax_number": "530-587-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 SILVER LAKE RD,",
            "address_2": "SUITE D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89506",
            "telephone_number": "775-337-8776",
            "fax_number": "775-337-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "OPT79060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08443Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard D Williams, M.D.
• Sam Williams Jr.
• Scott Williams
• Shannon Williams
• Susan Williams
• Ted D Williams, PHARMD
• Terry Williams
• Theresa E Williams, LCSW
• Thornton Gavin Williams, M.D., PH.D.
• Valerie L Williams, PHD

• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• 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.

Verify at the official NPI Registry.