Active NPI
Rachel Renee' Williams, PTA
- Physical Therapy Assistant
- Lake Jackson, TX
National Provider Identifier
1497018444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2083589
- Practice address
- 282 Fawn TRL
Lake Jackson, TX 77566-3721 - Phone
- (979) 236-5904
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2083589 | TX | Primary |
Addresses
Primary practice location
282 Fawn TRL
Lake Jackson, TX 77566-3721
Mailing address
282 Fawn TRL
Lake Jackson, TX 77566-3721
Phone (979) 236-5904
Other names 1
- Ms. Rachel Renee' Miller
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 |
|---|---|---|---|
| 2083589 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1497018444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 FAWN TRL",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775663721",
"telephone_number": "979-236-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 FAWN TRL",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775663721",
"telephone_number": "979-236-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RACHEL",
"middle_name": "RENEE'",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2083589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "MILLER",
"middle_name": "RENEE'",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.