Individual provider Active NPI

Vicki Lynn Allen-Williams, RPT

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1346555646
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7759 Issued in WA
Practice address
2000 Medical Pkwy FL 7
Annapolis, MD 21401-3742
Phone
(443) 481-4583
NPI assigned
Aug 11, 2010
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 7759 WA Primary

Addresses

Primary practice location

2000 Medical Pkwy FL 7
Annapolis, MD 21401-3742

Mailing address

415 Delmar Ave
Glen Burnie, MD 21061-3601
Phone (360) 204-8094

Other practice location 1

3715 11th Street
Bremerton, WA 98312
Phone (360) 475-0745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191203001062 DC Practitioner - Physical Therapist in Private Practice 5294054284 Reassigns benefits to 1 organization
I20241114004364 FL Practitioner - Physical Therapist in Private Practice 5294054284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Florida, LLCGroup PAC ID 3274962790, 151 clinicians

Practice addresses (Care Compare)

3400 SE Aster LN
Empowerme Rehabilitation Stuart
Stuart, FL 34994-5516
Phone (877) 367-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7759WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Florida, LLC Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince Oct 30, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 8, 2019 Accepting new patients

Locations

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 3

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1346555646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 DELMAR AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613601",
            "telephone_number": "360-204-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY FL 7",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "443-481-4583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 11th Street",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "98312",
            "country_code": "US",
            "telephone_number": "360-475-0745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN-WILLIAMS",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "7759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.