Active NPI
Laura Williams, PT, MHS
- Physical Therapist
- Dover, OH
National Provider Identifier
1376535443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03950
- Practice address
- 335 Oxford St
Suite B
Dover, OH 44622-1970 - Phone
- (330) 364-2233
- Fax
- (330) 364-7744
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03950 | OH | Primary |
Addresses
Primary practice location
335 Oxford St
Suite B
Dover, OH 44622-1970
Mailing address
335 Oxford St
Suite B
Dover, OH 44622-1970
Phone (330) 364-2233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000016760 | Other | ANTHEM BLUE CROSS/BLUE SHIELD | |
| 0982870 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03950 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuscarawas Valley Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Dover, OH
- NPI 1790901726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1376535443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 OXFORD ST",
"address_2": "SUITE B",
"city": "DOVER",
"state": "OH",
"postal_code": "446221970",
"telephone_number": "330-364-2233",
"fax_number": "330-364-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 OXFORD ST",
"address_2": "SUITE B",
"city": "DOVER",
"state": "OH",
"postal_code": "446221970",
"telephone_number": "330-364-2233",
"fax_number": "330-364-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LAURA",
"credential": "PT, MHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "03950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
"identifier": "00000016760",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0982870",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.