Active NPI
Virginia Meredith Williams, MPT
- Physical Therapist
- Nokomis, FL
National Provider Identifier
1346463312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23098
- Practice address
- 229 Shore T Rd
Nokomis, FL 34275-1974 - Phone
- (843) 412-3791
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4901 | SC | |
| Physical Therapist | 225100000X | 23098 | FL | Primary |
| Physical Therapist | 225100000X | 17606 | MA |
Addresses
Primary practice location
229 Shore T Rd
Nokomis, FL 34275-1974
Mailing address
1083 Quail Dr
Charleston, SC 29412-4809
Phone (843) 412-3791
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23098 | FL | MD | Mental Health Counselor |
| 4901 | SC | MD | Professional Counselor |
| 17606 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caresouth HHA Holdings of the Bay Area, LLC | Past | Accepting new patients | |
| Gulf City Home Care Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
dba Enhabit Home Health
- Home Health Agency
- Sarasota, FL
- NPI 1083160220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346463312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1083 QUAIL DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124809",
"telephone_number": "843-412-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 SHORE T RD",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342751974",
"telephone_number": "843-412-3791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "VIRGINIA",
"middle_name": "MEREDITH",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4901",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "23098",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nokomis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.