Jeffery Lynn Williams, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH360 Issued in AL

Practice address

3702 Williams LN SE
Decatur, AL 35603-5452

Phone

(256) 466-1150

Fax

(256) 355-4774

NPI assigned

Nov 28, 2006

Last updated

Dec 6, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1396812343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 16TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013595",
            "telephone_number": "256-350-0362",
            "fax_number": "256-355-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 WILLIAMS LN SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035452",
            "telephone_number": "256-466-1150",
            "fax_number": "256-355-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFERY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerald Keith Wilhoite, LPC
• Haley Wilkins, D.C.
• Randall Wilks, AUD
• Williams Physical Therapy, LLC
• Charvetta Williams
• Kerri Anne Williams, DPT
• Sandra Sue Williams, RN
• Shawnna B Williams, CRNP
• Tanya Williams, REGISTERED NURSE
• Willis Taylor Williams, M.D.

• Physical Therapist in Decatur, AL
• Providers in Decatur, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.