Active NPI
Ryan Lloyd Williams, ATC, OTC
- Athletic Trainer
- Vail, CO
National Provider Identifier
1366888794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1101
- Practice address
- 181 W Meadow Dr
Suite 200
Vail, CO 81657-5242 - Phone
- (636) 346-1683
- NPI assigned
- May 13, 2013
- Last updated
- May 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1101 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr
Suite 200
Vail, CO 81657-5242
Mailing address
654 Stone Creek Drive #20
X1658
Avon, CO 81620-1658
Phone (636) 346-1683
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1366888794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 STONE CREEK DRIVE #20",
"address_2": "X1658",
"city": "AVON",
"state": "CO",
"postal_code": "816201658",
"telephone_number": "636-346-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "SUITE 200",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "636-346-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RYAN",
"middle_name": "LLOYD",
"credential": "ATC, OTC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "1101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.