Susan Borck Williams, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-03647 Issued in OH

Practice address

443 Saint Thomas CT
Fairfield, OH 45014-4471

Phone

(513) 675-0332

NPI assigned

Jan 30, 2013

Last updated

Apr 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Borck-Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1538407283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SAINT THOMAS CT",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144471",
            "telephone_number": "513-675-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SAINT THOMAS CT",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144471",
            "telephone_number": "513-675-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "BORCK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-03647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BORCK-WILLIAMS",
            "credential": "PHYSICAL THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Linda Judy Williams
• Lori Jo Williams, LPN
• Nicole Williams, PHARMD
• Rosita Williams
• Settoria L Williams
• Vanessa Devaughn Williams, STNA
• Amber Wilson
• Anamarie Wilson
• Brittany L Wilson, PA
• Ricky Dale Wilson

• Physical Therapist in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.