Active NPI
Tierra Brown Williams, DPT
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1548640907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 09766R
- Practice address
- 950 Lorri Burgess Ave
Baton Rouge, LA 70802-6622 - Phone
- (225) 306-3013
- Fax
- (225) 396-5647
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH 4837 | AL | |
| Physical Therapist | 225100000X | 09766R | LA | Primary |
Addresses
Primary practice location
950 Lorri Burgess Ave
Baton Rouge, LA 70802-6622
Mailing address
PO Box 74732
Baton Rouge, LA 70874-4732
Phone (225) 773-0677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
950 Lorri Burgess Ave
Baton Rouge, LA 70802-6622
Phone (225) 306-3013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH 4837 | AL | MD | Physical Therapist |
| 09766R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eclipse Wellness and Performance Center, LLC | Single Specialty | Past | Accepting new patients |
| Love of Language | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Baton Rouge, LA
- NPI 1518622158
-
- Physical Therapy Clinic/Center
- Baton Rouge, LA
- NPI 1558599118
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1548640907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74732",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708744732",
"telephone_number": "225-773-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 LORRI BURGESS AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708026622",
"telephone_number": "225-306-3013",
"fax_number": "225-396-5647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TIERRA",
"middle_name": "BROWN",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH 4837",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "LA",
"license": "09766R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.