Robbie Williamson, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

RT007110 Issued in PA

Practice address

1200 Constitution Ave Ste 110
Philadelphia, PA 19112-1323

Phone

(267) 592-0666

NPI assigned

Jul 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1386370450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E NORTH LN APT D3",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282268",
            "telephone_number": "585-216-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONSTITUTION AVE STE 110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121323",
            "telephone_number": "267-592-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ROBBIE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "RT007110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA ATC LICENSE",
            "identifier": "RT007110",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.swol123.net/default.aspx",
            "affiliation": "N",
            "endpointDescription": "SWOL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health info.",
            "address_1": "1200 Constitution Ave Ste 110",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191121323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Marie Williamson
• Kelly Anne Williamson, M.D.
• Megan Ann Williamson, M.D.
• Owen Winston Williamson, M.D., P.C.
• Rebecca Williamson, MD
• Sabina Dominga Williamson, M.S., NCC, LPC
• Sonya Williamson, COTA/L
• Treesa Williamson, CRNP
• Jose Antonio Williford
• Alliric I. Willis, M.D.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.