Jeffrey Donald Williams

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT000695 Issued in PA

Practice address

4500 Pine Ave
Suite a
Erie, PA 16504-2342

Phone

(814) 825-8900

Fax

(814) 825-7599

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seth Enterprises II LLCGroup PAC ID 8224940531, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seth Enterprises II LLC

  dba Advanced Rehabilitation

  • Physical Therapist
  • Erie, PA
  • NPI 1841300654
  Medicare reassignment Care Compare group NPD
• Seth Enterprises I

  dba Advanced Rehabilitation

  • Physical Therapist
  • Erie, PA
  • NPI 1205946910
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487764296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WEST LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053849",
            "telephone_number": "814-833-2022",
            "fax_number": "814-838-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PINE AVE",
            "address_2": "SUITE A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042342",
            "telephone_number": "814-825-8900",
            "fax_number": "814-825-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "DONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT000695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Williams, C.O.T.A,/L
• D Patrick Williams, DO
• Deana Marie Williams
• Elizabeth Williams, DO
• Heather L Williams, CPD
• Jillian Nicole Williams, CRNP
• Kathleen Marie Williams, MA, LAT, CSCS
• Kay Louise Williams, MA/CCC-SLP
• Kenia Williams, LPC
• Mary Rita Williams

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.