William Kenneth Williams Jr., PHYSICAL THERAPIST

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT1245 Issued in AR

Practice address

104 Honeysuckle Hills Dr
Redfield, AR 72132-9370

Phone

(501) 397-7698

Fax

(501) 397-7698

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Prewett Physical Therapy Inc

  • Physical Therapist
  • Little Rock, AR
  • NPI 1437278264

  Geriatrics

  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366560153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HONEYSUCKLE HILLS DR",
            "city": "REDFIELD",
            "state": "AR",
            "postal_code": "721329370",
            "telephone_number": "501-397-7698",
            "fax_number": "501-397-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HONEYSUCKLE HILLS DR",
            "city": "REDFIELD",
            "state": "AR",
            "postal_code": "721329370",
            "telephone_number": "501-397-7698",
            "fax_number": "501-397-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WILLIAM",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AR",
            "license": "PT1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHYSICAL THERAPIST",
            "identifier": "5S345",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Michele Rainbolt, APRN
• Redfield Pharmacy Mangement LLC (Redfield Pharmacy)
• Olivia Roberts
• Jim Eldren Taylor, OPTOMETRIST OD
• Toni J Walker, RN
• Megan Wilson, PHARM.D.

• Geriatric Physical Therapist in Redfield, AR
• Providers in Redfield, AR by specialty
• Geriatric Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.