Active NPI
Ladd Ryan Williams, P.T.
- Orthopedic Physical Therapist
- Truckee, CA
National Provider Identifier
1487964482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 19817
- Practice address
- 11890 Donner Pass Rd
Suite 1
Truckee, CA 96161-0448 - Phone
- (530) 582-8609
- NPI assigned
- Oct 12, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 19817 | CA | Primary |
Addresses
Primary practice location
11890 Donner Pass Rd
Suite 1
Truckee, CA 96161-0448
Mailing address
11890 Donner Pass Rd
Suite 1
Truckee, CA 96161-0448
Phone (530) 582-8609
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19817 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1487964482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11890 DONNER PASS RD",
"address_2": "SUITE 1",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610448",
"telephone_number": "530-582-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11890 DONNER PASS RD",
"address_2": "SUITE 1",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610448",
"telephone_number": "530-582-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LADD",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-12",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "19817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.