Individual provider Active NPI

Kendra K Williams, PT

  • Physical Therapist
  • Anthem, AZ
National Provider Identifier
1497724462
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-006158 Issued in AZ
Practice address
41125 N Daisy Mountain Dr
Suite 121
Anthem, AZ 85086-4954
Phone
(623) 551-9706
Fax
(623) 551-9708
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6158 AZ
Physical Therapist 225100000X LPT-006158 AZ Primary

Addresses

Primary practice location

41125 N Daisy Mountain Dr
Suite 121
Anthem, AZ 85086-4954

Mailing address

41125 N Daisy Mountain Dr
Suite 125
Anthem, AZ 85086-4954
Phone (623) 551-9706

Other identifiers 1

IdentifierTypeStateIssuer
073398MedicaidAZ

Other names 1

  • Kendra K Short Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1497724462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR",
            "address_2": "SUITE 125",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864954",
            "telephone_number": "623-551-9706",
            "fax_number": "623-551-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR",
            "address_2": "SUITE 121",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864954",
            "telephone_number": "623-551-9706",
            "fax_number": "623-551-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENDRA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "6158",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-006158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073398",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "SHORT",
            "middle_name": "K",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.