Individual provider Active NPI

Sabine Williams, PT, DPT

  • Pediatric Physical Therapist
  • Atlanta, GA
National Provider Identifier
1548754393
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT013425 Issued in GA
Practice address
1328 Dekalb Ave NE
Atlanta, GA 30307-2027
Phone
(404) 600-4627
Fax
(470) 270-8130
NPI assigned
Jun 15, 2018
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X PT013425 GA Primary

Addresses

Primary practice location

1328 Dekalb Ave NE
Atlanta, GA 30307-2027

Mailing address

1328 Dekalb Ave NE
Atlanta, GA 30307-2027
Phone (404) 600-4627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT013425GAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tailored Occupational Therapy LLC Single Specialty Past Accepting new patients
A New Beginning Health Service Past Accepting new patients
Onepoint Physical Therapy, Inc. Pediatrics PastSince Jul 19, 2016 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1548754393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 DEKALB AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072027",
            "telephone_number": "404-600-4627",
            "fax_number": "470-270-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 DEKALB AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072027",
            "telephone_number": "404-600-4627",
            "fax_number": "470-270-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SABINE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT013425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

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