Darren Shaun Williams, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20328 Issued in CA

Practice address

6717 Murray Park Dr
San Diego, CA 92120-3911

Phone

(858) 692-5835

Fax

(619) 825-7500

NPI assigned

Feb 6, 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 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brit in Home Physical Therapy LTD

  • Physical Therapist
  • San Diego, CA
  • NPI 1649596834
  Medicare reassignment NPD Authorized official
• Levas Physical & Occupational Therapy

  • Occupational Therapist
  • Lajolla, CA
  • NPI 1285695130

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1376683904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 MURRAY PARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203911",
            "telephone_number": "858-692-5835",
            "fax_number": "619-825-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 MURRAY PARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203911",
            "telephone_number": "858-692-5835",
            "fax_number": "619-825-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DARREN",
        "middle_name": "SHAUN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0203280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "G0001798",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE",
            "identifier": "148929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damian Williams, MD
• Danica Williams
• Daniel Williams, IDC
• Daniel Williams, RN
• Darrell Williams
• Deborah Ann Williams, LCSW
• Dejah Williams
• Denise C Williams
• Devon Williams
• Diamond Williams

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.