Active NPI
Terea S Williamson, DPT, ATC
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1326296971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009100A
- Practice address
- 207 Pennsylvania PKW
Indianapolis, IN 46280-1393 - Phone
- (317) 817-1200
- Fax
- (317) 867-1220
- NPI assigned
- Sep 8, 2008
- 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 | 05009100A | IN | Primary |
| Athletic Trainer | 2255A2300X | 36001001A | IN |
Addresses
Primary practice location
207 Pennsylvania PKW
Indianapolis, IN 46280-1393
Mailing address
201 Pennsylvania Pkwy
Ste 100
Indianapolis, IN 46280-2301
Phone (317) 817-1200
Other names 1
- Terea S Rhodes
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 |
|---|---|---|---|
| 05009100A | IN | MD | Physical Therapist |
| 36001001A | IN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthodynamics Company, Inc. | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Noblesville, IN
- NPI 1457310492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1326296971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PENNSYLVANIA PKWY",
"address_2": "STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462802301",
"telephone_number": "317-817-1200",
"fax_number": "317-208-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 PENNSYLVANIA PKW",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462801393",
"telephone_number": "317-817-1200",
"fax_number": "317-867-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "TEREA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009100A",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001001A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEREA",
"last_name": "RHODES",
"middle_name": "S",
"credential": "DPT, ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.