Sara Ryan Williams, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.017661 Issued in IL

Practice address

550 S Mulford Rd
Rockford, IL 61108-2511

Phone

(815) 229-0600

NPI assigned

Jan 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Sara Ryan Kennett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1336487917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14816 CLOVER LN",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610802497",
            "telephone_number": "815-520-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082511",
            "telephone_number": "815-229-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SARA",
        "middle_name": "RYAN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KENNETT",
            "middle_name": "RYAN",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gracelyn Lauren Williams
• Kathleen Edna Williams, APRN
• Kimberly Sue Williams, D.C.
• Lindsey Rae Williams, LCPC
• Sandra Lynn Williams, LCSW
• Sonal H Williams, FNP
• Tiffany Williams, LCSW
• Wendy Williams, PA-C
• Erin Willis
• Keri Lynn Willoughby, PHARM.D.

• Physical Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.