Individual provider Active NPI

Brett G Williams, P.T.

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1609131226
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3089 Issued in NE
Practice address
1550 S Coddington Ave Ste C
Lincoln, NE 68522-4402
Phone
(402) 423-0303
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3089 NE Primary

Addresses

Primary practice location

1550 S Coddington Ave Ste C
Lincoln, NE 68522-4402

Mailing address

4525 S 86TH St
Suite B
Lincoln, NE 68526-9277
Phone (402) 327-9000

Other practice location 1

4525 S 86th St
Suite B
Lincoln, NE 68526-9277
Phone (402) 327-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121109000095 NE Practitioner - Physical Therapist in Private Practice 0648421115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coddington Physical Therapy LLCGroup PAC ID 4486787793, 4 clinicians

Practice addresses (Care Compare)

1550 S Coddington Ave
Suite C
Lincoln, NE 68522-4402
Phone (402) 423-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coddington Physical Therapy, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients

Locations

1550 S Coddington Ave
Ste C
Lincoln, NE 68522
Phone (402) 423-0303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1609131226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S 86TH ST",
            "address_2": "SUITE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269277",
            "telephone_number": "402-327-9000",
            "fax_number": "402-327-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S CODDINGTON AVE STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685224402",
            "telephone_number": "402-423-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 S 86th St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685269277",
            "country_code": "US",
            "telephone_number": "402-327-9000",
            "fax_number": "402-327-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRETT",
        "middle_name": "G",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.