Williams Performance Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

12486 Issued in AZ

Legal business name

WILLIAMS PERFORMANCE PHYSICAL THERAPY LLC

Practice address

18510 E San Tan Blvd
Queen Creek, AZ 85142-7186

Phone

(480) 272-2141

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Kevin Williams, PT, DPT, CSCSNPI 1154872109

Title

Physical Therapist/Owner

Phone

(480) 272-2141

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin T Williams, PT, DPT, CSCS

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1154872109
  NPD Authorized official

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1508388133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2175",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-272-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18510 E SAN TAN BLVD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427186",
            "telephone_number": "480-272-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PERFORMANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "480-272-2141",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "12486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John White, RPH
• Elizabeth Wielebinski, BCBA
• Tiffany Wilcken, MAS LAMFT
• Brie'El Wiles, DMD
• Bryanna Linda Wiley
• Chryselle Williams
• Jamie Lynn Williams, SLP
• Dena Willmann, LPC
• Dana Willyerd
• Emily Wilson

• Physical Therapy Clinic/Center in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.