Shabrittany Williams, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003359 Issued in GA

Practice address

1640 Redstone Center Dr
Park City, UT 84098-7605

Phone

(770) 225-8450

Fax

(866) 587-9993

NPI assigned

May 13, 2019

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 identifiers 1

Electronic endpoints 1

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1346806551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LEE ROAD 272",
            "city": "CUSSETA",
            "state": "AL",
            "postal_code": "368523160",
            "telephone_number": "706-773-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 REDSTONE CENTER DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987605",
            "telephone_number": "770-225-8450",
            "fax_number": "866-587-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHABRITTANY",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5300013009301",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.shccares.com",
            "affiliation": "N",
            "address_1": "1640 Redstone Center Dr",
            "city": "Park City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840987605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David H Williams, MD
• Megan B Williams, OT
• Nicholas J Williams, ATC
• Nicholas R Williams, OT
• Perry Williams, DPT
• Stuart Eliot Willick, MD
• Celeste Annette Willmann-Chafin, LPTA
• Dodiann R Wilson, LPC
• Jill Mallory Fadal Wilson, M.D.
• Katherine Wilson

• Physical Therapy Assistant in Park City, UT
• Providers in Park City, UT by specialty
• Physical Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.