Individual provider Active NPI

Ladonna Rochelle Williams, RPT

  • Physical Therapist
  • Jackson, MS
National Provider Identifier
1356371801
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3214 Issued in MS
Practice address
5250 Galaxie Dr
Suite K
Jackson, MS 39206-4311
Phone
(601) 368-4570
Fax
(601) 368-4571
NPI assigned
Jul 3, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 PT3214 MS Primary

Addresses

Primary practice location

5250 Galaxie Dr
Suite K
Jackson, MS 39206-4311

Mailing address

100 Kimberly CV
Clinton, MS 39056-9719
Phone (601) 454-5292

Other names 1

  • Ladonna R Smith Other name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Care Home Therapy, LLC Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients
Fitness Clinic Physical Therapist PastSince Dec 5, 2020 Accepting new patients

Locations

5250 Galaxie Dr
Ste K
Jackson, MS 39206
Phone (601) 362-4570

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1356371801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMBERLY CV",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390569719",
            "telephone_number": "601-454-5292",
            "fax_number": "601-454-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 GALAXIE DR",
            "address_2": "SUITE K",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064311",
            "telephone_number": "601-368-4570",
            "fax_number": "601-368-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LADONNA",
        "middle_name": "ROCHELLE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADONNA",
            "last_name": "SMITH",
            "middle_name": "R",
            "credential": "RPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.