Individual provider Active NPI

Chad Steven Williams, P.T.

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1467614719
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10027 Issued in CO
Practice address
2935 Baseline Rd
Suite 300
Boulder, CO 80303-2366
Phone
(303) 444-2951
Fax
(303) 444-4779
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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 10027 CO Primary

Addresses

Primary practice location

2935 Baseline Rd
Suite 300
Boulder, CO 80303-2366

Mailing address

2935 Baseline Rd
Suite 300
Boulder, CO 80303-2366
Phone (303) 444-2951

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
10027COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Rehabilitation Associates, Inc Physical Therapist CurrentSince Jun 25, 2004 Accepting new patients
Coreance, Inc. Physical Therapist Past Accepting new patients

Locations

1850 9th St W
Ste 2
Columbia Falls, MT 59912
Phone (406) 892-7999

115 Commons Way
Ste 101
Kalispell, MT 59901
Phone (406) 756-2555

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1467614719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "SUITE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "303-444-2951",
            "fax_number": "303-444-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "SUITE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "303-444-2951",
            "fax_number": "303-444-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHAD",
        "middle_name": "STEVEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.