Ahkeen Williams, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050945 Issued in NY

Practice address

792 N Main St Ste 100C
North Syracuse, NY 13212-1661

Phone

(315) 458-2552

Fax

(315) 458-2575

NPI assigned

Sep 8, 2023

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of Ny Upstate Medical University, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Physical Therapy PLLCGroup PAC ID 9335046598, 9 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 and National Provider Directory roles.

• Primary Physical Therapy PLLC

  • Physical Therapist
  • North Syracuse, NY
  • NPI 1922071257
  Medicare reassignment Care Compare group NPD
• Primary Physical Therapy PLLC

  • Physical Therapist
  • Cortland, NY
  • NPI 1598088106
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1508643149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST STE 100C",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121661",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST STE 100C",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121661",
            "telephone_number": "315-458-2552",
            "fax_number": "315-458-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W Seneca St",
            "address_purpose": "LOCATION",
            "city": "Manlius",
            "state": "NY",
            "postal_code": "131042420",
            "country_code": "US",
            "telephone_number": "315-692-2336",
            "fax_number": "315-692-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "364 Madison St",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "NY",
            "postal_code": "134801116",
            "country_code": "US",
            "telephone_number": "315-841-3222",
            "fax_number": "315-841-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AHKEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Waters, MHC
• Amber Wayne, PHARMD
• Tracy Lynn Wendt, NP
• Andrea Whalen Westman, PT, DPT
• Jeffrey William Wike, MD
• Beth L Williams
• Michael Wilsey
• Nicole Wise
• Catherine Elizabeth Woods, LMT
• Xuemei Yao, NP

• Physical Therapist in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.