Individual provider Active NPI

Elizabeth Williamson, PT

  • Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1326593013
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16631 Issued in NC
Practice address
122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800
Phone
(910) 938-7555
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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 P16631 NC Primary

Addresses

Primary practice location

122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800

Mailing address

122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800
Phone (910) 938-7555

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

LicenseStateTypeSpecialty
P16631NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Sports and Physical Therapy, LLC Physical Therapist CurrentSince May 31, 2019 Accepting new patients
Neuroaxis Rehabilitation Services PastSince Aug 1, 2022 Accepting new patients

Locations

2756 Richlands Hwy
Jacksonville, NC 28540
Phone (910) 378-0147

122 Branchwood Shopping Ctr
Jacksonville, NC 28546
Phone (910) 938-7555

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1326593013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BRANCHWOOD SHOPPING CTR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465800",
            "telephone_number": "910-938-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BRANCHWOOD SHOPPING CTR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465800",
            "telephone_number": "910-938-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.