Tarissa Marvette Williams, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21423 Issued in FL

Practice address

10506 Marsanne PL
Riverview, FL 33578-4319

Phone

(813) 541-6880

NPI assigned

Dec 16, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

California Eclectic Medical College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Realhab IncGroup PAC ID 8325364300, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

67.49 of 100Reported as group

Quality

86.23

Improvement activities

40

Cost

10

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Realhab Inc

  • Physical Therapist
  • Parrish, FL
  • NPI 1710912373
  Medicare reassignment Care Compare group NPD
• Dynamik Balance, LLC

  • Home Health Agency
  • Riverview, FL
  • NPI 1699011833
  NPD (past) Authorized official
• Runeight Inc

  • Durable Medical Equipment & Medical Supplies
  • Parrish, FL
  • NPI 1154196699
  NPD (past)

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

{
    "created_epoch": "1355616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355616000000",
    "number": "1336485564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 MARSANNE PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784319",
            "telephone_number": "813-541-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 MARSANNE PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784319",
            "telephone_number": "813-541-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TARISSA",
        "middle_name": "MARVETTE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-16",
        "last_updated": "2012-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Luzanne Williams
• Kheyanne Rashad Williams
• Michelle Williams
• Michelle D Williams
• Rachel Nichole Williams, PT
• Tomaia Williams
• Deneen Elisha Williamson, COTA/L
• Jasmine Deanna Willis, RBT
• Deja Wilson
• Summer Wilson, CSFA

• Physical Therapist in Riverview, FL
• Providers in Riverview, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2012; 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.