Individual provider Active NPI

Patrick Ashley Williams, PT, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1396061537
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6499 Issued in AZ
Practice address
7430 E Pinnacle Peak Rd Ste 138
Scottsdale, AZ 85255-3630
Phone
(480) 502-4324
NPI assigned
Apr 13, 2010
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6499 AZ Primary
Physical Therapist 225100000X 168 AK

Addresses

Primary practice location

7430 E Pinnacle Peak Rd Ste 138
Scottsdale, AZ 85255-3630

Mailing address

9830 N 30TH St
Phoenix, AZ 85028-4441
Phone (602) 717-2893

Other practice location 1

33777 N Scottsdale Rd Ste 110
Scottsdale, AZ 85266-1569
Phone (480) 595-2824

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

LicenseStateTypeSpecialty
168AKMDOptometrist
6499AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arches PPT, LLC Past Accepting new patients
Peterson PT LLC PastSince Mar 1, 2001 Accepting new patients
Traveler Advocate, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1396061537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 N 30TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284441",
            "telephone_number": "602-717-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 E PINNACLE PEAK RD STE 138",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553630",
            "telephone_number": "480-502-4324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33777 N Scottsdale Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852661569",
            "country_code": "US",
            "telephone_number": "480-595-2824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PATRICK",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6499",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.