Active NPI
Charles Williams, PT
- Physical Therapist
- Garden City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03639
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03639 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Kansas Rehabilitation Services PA | Physical Therapist | Current | 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.
-
dba Synergy Physical Therapy & Wellness
- Physical Therapy Clinic/Center
- Garden City, KS
- NPI 1962746826
Physical Therapist
-
- Orthopaedic Surgery Physician
- Louisville, CO
- NPI 1376577338
-
dba Cornerstone Orthopedics Surgery and Sports Medicine, P.C.
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1063927788
Physical Therapist
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.