Active NPI
Williams K Perkins, RPT
- Physical Therapist
- Selma, AL
National Provider Identifier
1578626339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH2755
- Practice address
- 431 Church St
Selma, AL 36701-4565 - Phone
- (334) 875-1051
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH2755 | AL | Primary |
Addresses
Primary practice location
431 Church St
Selma, AL 36701-4565
Mailing address
PO Box 790
Selma, AL 36702-0790
Phone (334) 875-1051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21379 | Other | AL | BLUECROSS PROVIDER NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH2755 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578626339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "SELMA",
"state": "AL",
"postal_code": "367020790",
"telephone_number": "334-875-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 CHURCH ST",
"city": "SELMA",
"state": "AL",
"postal_code": "367014565",
"telephone_number": "334-875-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "WILLIAMS",
"middle_name": "K",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH2755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS PROVIDER NUMBER",
"identifier": "21379",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.