Ryan Williamson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA15971 Issued in FL

Practice address

9215 Belleza Way
# C-203
Fort Myers, FL 33908-9624

Phone

(239) 822-7345

NPI assigned

Aug 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ryan Williamson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1467618066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8779 SPRING MOUNTAIN WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089676",
            "telephone_number": "239-822-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 BELLEZA WAY",
            "address_2": "# C-203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089624",
            "telephone_number": "239-822-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA15971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "WILLIAMSON",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Talonda Williams, APRN
• Tamika Nickcola Williams, LMT
• Venia Williams
• Donald C Williamson, MD
• Leigh Williamson
• Sarah Lindsay Williamson, LMT
• Tiffany Willin
• Avonna D Willingham
• Michael Kenneth Willis, D.M.D.
• Suzie L Willis, APRN

• Physical Therapy Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.