Active NPI
Ingrid Williams, PT, DPT
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 40765
- Practice address
- 4060 Fourth Ave Ste 206
San Diego, CA 92103-2120 - Phone
- (619) 299-5246
- NPI assigned
- Mar 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 40765 | CA | Primary |
Addresses
Primary practice location
4060 Fourth Ave Ste 206
San Diego, CA 92103-2120
Mailing address
8928 Geraldine Ave
San Diego, CA 92123-2915
Phone (925) 413-6143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4060 4TH Ave
Suite 206
San Diego, CA 92103-2120
Phone (619) 299-5246
8281 Polizzi PL
San Diego, CA 92123-3830
Phone (619) 564-7120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 40765 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Mizuta & Associates Physical Therapy, Inc. | Current | Accepting new patients | |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
4060 4th Ave
Ste 206
San Diego, CA 92103
Phone (619) 297-0014
10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Escondido, CA
- NPI 1972229805
Physical Therapist
-
dba Mizuta & Associates Physical Therapy
- Orthopedic Physical Therapist
- San Diego, CA
- NPI 1376783076
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1447677976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8928 GERALDINE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232915",
"telephone_number": "925-413-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE STE 206",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032120",
"telephone_number": "619-299-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "INGRID",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 40765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.