Individual provider Active NPI

Eric Roy Williams, DPT

  • Physical Therapist
  • Nampa, ID
National Provider Identifier
1437540168
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3835 Issued in ID
Practice address
16150 N High Desert St Ste 113
Nampa, ID 83687-5567
Phone
(208) 452-0303
Fax
(208) 228-0583
NPI assigned
Feb 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-3835 ID Primary

Addresses

Primary practice location

16150 N High Desert St Ste 113
Nampa, ID 83687-5567

Mailing address

2965 E Tarpon Dr Ste 150
Meridian, ID 83642-9007
Phone (208) 287-9420

Other identifiers 1

IdentifierTypeStateIssuer
PT-3835OtherIDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318001435 ID Practitioner - Physical Therapist in Private Practice 0446577100 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Current Physical Therapy Nampa LLCGroup PAC ID 5597195651, 4 clinicians

Practice addresses (Care Compare)

16150 N High Desert St
Suite 113
Nampa, ID 83687-5510
Phone (208) 452-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-3835IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Current Physical Therapy Meridian Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Current Physical Therapy Nampa LLC Physical Therapist CurrentSince Mar 2, 2020 Accepting new patients
Current Physical Therapy LLC Physical Therapist CurrentSince Jul 2, 2018 Accepting new patients
Current Physical Therapy Kuna LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients

Locations

2175 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-0303

943 N Linder Rd
Ste 104
Kuna, ID 83634
Phone (208) 922-1719

1020 N Hickory Ave
Ste 115
Meridian, ID 83642
Phone (208) 314-4988

2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110

16150 N High Desert St
Ste 113
Nampa, ID 83687
Phone (208) 452-0303

119 S Valley Dr
Ste A
Nampa, ID 83686

Organizations & group practices 4

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": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1437540168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429007",
            "telephone_number": "208-287-9420",
            "fax_number": "208-287-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 N HIGH DESERT ST STE 113",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875567",
            "telephone_number": "208-452-0303",
            "fax_number": "208-228-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ERIC",
        "middle_name": "ROY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-3835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT-3835",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.