Shelby Williams

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP-CP000478T Issued in NC

Practice address

611 Old Meeting Way
Davidson, NC 28036

Phone

(817) 658-3047

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Holiday Williams LLC

  • Physical Therapy Clinic/Center
  • Mooresville, NC
  • NPI 1871279380
  NPD Authorized official

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1528615739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 WILLIAMSON RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179186",
            "telephone_number": "704-360-2595",
            "fax_number": "704-360-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 OLD MEETING WAY",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "28036",
            "telephone_number": "817-658-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP-CP000478T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1649568676",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drholiday@adaptperformanceandtraining.com",
            "affiliation": "N",
            "address_1": "99 Jackson St Unit 1464",
            "city": "Davidson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280369862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julianne Allen Whittington, MS, RD, LDN
• Michael B Wilhite, D.M.D, P.A.
• Addisson Randall Williams
• Brandon Williams, LCMHCA
• James Williams, DC
• Camille M Wilson, NCC
• Carina Wise
• Susan Kitchens Wolding, PT
• David Kenneth Wolfe II, R.PH.
• William Clay Wolters Jr., DO

• Physical Therapist in Davidson, NC
• Providers in Davidson, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.