Individual provider Active NPI

Thornton Gavin Williams, M.D., PH.D.

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
National Provider Identifier
1437592821
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
17237 Issued in NV
Practice address
10085 Double R Blvd Ste 205
Reno, NV 89521-3854
Phone
(775) 982-5000
Fax
(775) 982-7205
NPI assigned
Apr 16, 2013
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 17237 NV Primary

Addresses

Primary practice location

10085 Double R Blvd Ste 205
Reno, NV 89521-3854

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

1495 Mill St
Reno, NV 89502-1479
Phone (775) 982-5000

Other practice location 2

1343 Newlands Dr W
Fernley, NV 89408-8926
Phone (775) 982-5000

Other practice location 3

560 E Williams Ave
Fallon, NV 89406-3031
Phone (775) 982-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825000716 NV Practitioner - Physical Medicine and Rehabilitation 7810269867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical School at Houston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

560 E Williams Ave
Fallon, NV 89406-3031
Phone (775) 982-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Aug 7, 2017 Accepting new patients
Community Care Services LLC Physical Medicine & Rehabilitation CurrentSince Aug 7, 2017 Accepting new patients
Community Care Services LLC Past Accepting new patients
Renown South Meadows Medical Center Past Accepting new patients
Community Care Services LLC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

560 E Williams Ave
Fallon, NV 89406
Phone (775) 428-2022

1343 Newlands Dr W
Fernley, NV 89408
Phone (775) 575-3600

10085 Double R Blvd
Ste 205
Reno, NV 89521
Phone (775) 852-0505

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#14
Reno, NV 89502

1495 Mill St
Reno, NV 89502
Phone (775) 982-3500

850 Harvard Way
Reno, NV 89502

Interoperability endpoints

  • Direct secure messaging: twilliams121972@direct.renown.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1437592821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 DOUBLE R BLVD STE 205",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213854",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-7205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021479",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1343 Newlands Dr W",
            "address_purpose": "LOCATION",
            "city": "Fernley",
            "state": "NV",
            "postal_code": "894088926",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 E Williams Ave",
            "address_purpose": "LOCATION",
            "city": "Fallon",
            "state": "NV",
            "postal_code": "894063031",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "THORNTON",
        "middle_name": "GAVIN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "17237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.