Individual provider Active NPI

Jeffrey Scott Williams, PT, DPT, CSCS

  • Physical Therapist
  • Landrum, SC
National Provider Identifier
1336586007
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7053 Issued in SC
Practice address
1109 E Rutherford St
Ste a
Landrum, SC 29356-1728
Phone
(864) 457-1077
Fax
(864) 457-1079
NPI assigned
Jun 4, 2013
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 7053 SC Primary

Addresses

Primary practice location

1109 E Rutherford St
Ste a
Landrum, SC 29356-1728

Mailing address

60 Shuford Rd
Columbus, NC 28722-7406
Phone (828) 894-0277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000248 SC Practitioner - Physical Therapist in Private Practice 5193967537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Integrated Therapy Centers, LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Pro Physical Therapy, Inc. Physical Therapist CurrentSince Jun 17, 2025 Accepting new patients

Locations

60 Shuford Rd
Columbus, NC 28722
Phone (828) 894-0277

140 Executive Dr
Greer, SC 29651
Phone (864) 801-8706

1109 E Rutherford St
#A
Landrum, SC 29356
Phone (864) 457-1077

719 SE Main St
#B
Simpsonville, SC 29681
Phone (864) 522-5400

535 Laurens Rd
Woodruff, SC 29388
Phone (864) 476-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1336586007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SHUFORD RD",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227406",
            "telephone_number": "828-894-0277",
            "fax_number": "828-894-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E RUTHERFORD ST",
            "address_2": "STE A",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561728",
            "telephone_number": "864-457-1077",
            "fax_number": "864-457-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landrum, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.