Individual provider Active NPI

Charles Williams, PT

  • Physical Therapist
  • Garden City, KS
National Provider Identifier
1326129354
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03639 Issued in KS
Practice address
1501 E Fulton Ter
Suite 1
Garden City, KS 67846-6289
Phone
(620) 805-6883
Fax
(620) 805-6886
NPI assigned
Oct 17, 2006
Last updated
Jan 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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 11-03639 KS Primary

Addresses

Primary practice location

1501 E Fulton Ter
Suite 1
Garden City, KS 67846-6289

Mailing address

1901 Grandview Dr E
Garden City, KS 67846-8324
Phone (620) 271-0957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070103000429 KS Practitioner - Physical Therapist in Private Practice 8820015696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Kansas Rehabilitation Services, PA.Group PAC ID 6103065552, 2 clinicians

Practice addresses (Care Compare)

1501 E Fulton Ter
Suite 1
Garden City, KS 67846-6290
Phone (620) 805-6883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03639KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Kansas Rehabilitation Services PA Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist Past Accepting new patients
Cornerstone Orthopedics Surgery and Sports Medicine, P.C. Past Accepting new patients

Locations

1501 E Fulton Ter
#1
Garden City, KS 67846
Phone (620) 805-6883

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1326129354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 GRANDVIEW DR E",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678468324",
            "telephone_number": "620-271-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E FULTON TER",
            "address_2": "SUITE 1",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466289",
            "telephone_number": "620-805-6883",
            "fax_number": "620-805-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.