Individual provider Active NPI

Cameron Joseph Williams, DPT

  • Physical Therapist
  • Knightdale, NC
National Provider Identifier
1598377566
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19731 Issued in NC
Practice address
210 Hinton Oaks Blvd Ste F
Knightdale, NC 27545-6564
Phone
(919) 366-5383
Fax
(919) 741-4632
NPI assigned
Aug 20, 2020
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X P19731 NC Primary

Addresses

Primary practice location

210 Hinton Oaks Blvd Ste F
Knightdale, NC 27545-6564

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000672 NC Practitioner - Physical Therapist in Private Practice 8820418304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

210 Hinton Oaks Blvd
Suite F
Knightdale, NC 27545-6564
Phone (919) 366-5383

5605 W Friendly Ave
Suite G
Greensboro, NC 27410-4253
Phone (336) 617-0277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 31, 2023 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Oct 7, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 17, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Jan 17, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Oct 7, 2021 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

5605 W Friendly Ave
Ste G
Greensboro, NC 27410
Phone (336) 617-0277

210 Hinton Oaks Blvd
Ste F
Knightdale, NC 27545
Phone (919) 366-5383

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

244 Olmsted Blvd
Ste B
Pinehurst, NC 28374
Phone (910) 235-0655

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

Organizations & group practices 8

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1598377566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HINTON OAKS BLVD STE F",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456564",
            "telephone_number": "919-366-5383",
            "fax_number": "919-741-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAMERON",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.

Verify at the official NPI Registry.