Susan J Williams, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-15690 Issued in FL

Practice address

6314 Whiskey Creek Dr
Fort Myers, FL 33919-8762

Phone

(239) 432-0556

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1477994127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112142",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080136",
            "telephone_number": "239-537-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 WHISKEY CREEK DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198762",
            "telephone_number": "239-432-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA-15690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Williams
• Mark Carl Williams, M.D.
• Melinda Mary Williams, RPH
• Natalie Smith Williams, APRN
• Olivia Grace Williams
• Talonda Williams, APRN
• Tamika Nickcola Williams, LMT
• Venia Williams
• Donald C Williamson, MD
• Leigh Williamson

• 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 Jul 10, 2013; 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.