Active NPI
Laura B Williams, DPT
- Physical Therapist
- Meridian, ID
National Provider Identifier
1316176100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2872
- Practice address
- 535 N Locust Grove Rd
Suite #170
Meridian, ID 83642-9020 - Phone
- (208) 917-2660
- NPI assigned
- Jul 14, 2009
- Last updated
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1284 | WY | |
| Physical Therapist | 225100000X | 2872 | ID | Primary |
Addresses
Primary practice location
535 N Locust Grove Rd
Suite #170
Meridian, ID 83642-9020
Mailing address
535N Locust Grove Rd 170
Meridian, ID 83642-9379
Phone (208) 917-2660
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 |
|---|---|---|---|
| 1284 | WY | MD | Professional Counselor |
| 2872 | ID | MD | Physical Therapist |
| PT-1284 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients | |
| William H and Carrie Gottsche Foundation | Past | Accepting new patients | |
| Rock and Armor Physical Therapy and Sports Performance, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Meridian, ID
- NPI 1689089971
-
- Family Nurse Practitioner
- Riverton, WY
- NPI 1487295846
-
dba Gottsche Rehabilitation Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Thermopolis, WY
- NPI 1558319392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1316176100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535N LOCUST GROVE RD 170",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429379",
"telephone_number": "208-917-2660",
"fax_number": "208-917-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 N LOCUST GROVE RD",
"address_2": "SUITE #170",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429020",
"telephone_number": "208-917-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LAURA",
"middle_name": "B",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-1284",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "2872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.