Active NPI
Jennifer M. Williams, P.T., D.P.T.
- Physical Therapist
- Cary, NC
National Provider Identifier
1417065533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P11529
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141065533 | Medicaid | NC |
Other names 1
- Dr. Jennifer Williams
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
| License | State | Type | Specialty |
|---|---|---|---|
| P11529 | NC | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands on Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Hands on Physical Therapy, Inc | Physical Therapy | Past | 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.
-
- Physical Therapist
- Cary, NC
- NPI 1710174859
-
- Physical Therapy Clinic/Center
- Clayton, NC
- NPI 1912955279
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.