Individual provider Active NPI

Jennifer M. Williams, P.T., D.P.T.

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1417065533
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P11529 Issued in NC
Practice address
590 New Waverly PL Ste 220
Cary, NC 27518-7407
Phone
(919) 851-0711
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X P11529 NC
Physical Therapy Clinic/Center 261QP2000X P11529 NC
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X P11529 NC
Physical Therapist 225100000X P11529 NC Primary

Addresses

Primary practice location

590 New Waverly PL Ste 220
Cary, NC 27518-7407

Mailing address

1204 Seattle Slew LN
Cary, NC 27519-5408
Phone (516) 662-4723

Other practice location 1

530 W Gannon Ave
Zebulon, NC 27597-2510
Phone (919) 557-2111

Other practice location 2

1439 N Main St
Fuquay Varina, NC 27526-9024
Phone (919) 557-2111

Other identifiers 1

IdentifierTypeStateIssuer
141065533MedicaidNC

Other names 1

  • Dr. Jennifer Williams Professional name

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
P11529NCMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy, Inc Physical Therapist CurrentSince Jun 30, 2026 Accepting new patients
Hands on Physical Therapy, Inc Physical Therapy PastSince Jun 30, 2026 Accepting new patients

Locations

590 New Waverly Pl
Ste 220
Cary, NC 27518
Phone (919) 851-0711

1439 N Main St
Fuquay Varina, NC 27526
Phone (919) 557-2111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1417065533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 SEATTLE SLEW LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195408",
            "telephone_number": "516-662-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NEW WAVERLY PL STE 220",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187407",
            "telephone_number": "919-851-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 W Gannon Ave",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "NC",
            "postal_code": "275972510",
            "country_code": "US",
            "telephone_number": "919-557-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1439 N Main St",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275269024",
            "country_code": "US",
            "telephone_number": "919-557-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NC",
            "license": "P11529",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P11529",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NC",
            "license": "P11529",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141065533",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILLIAMS",
            "prefix": "DR.",
            "credential": "PT,DPT,CWCS,CSCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.