Audrey Williams, DPT
Individual provider Active NPI Physical Therapist · Energy, IL
NPI 1609298389 · NPPES record last updated Jan 14, 2014
Key facts
- NPI
- 1609298389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070020191 (IL)
- Practice address
- 210 E College St
Energy, IL 62933-3568 - Phone
- (618) 942-7014
- NPI assigned
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sunnyside Presbyterian Home
Practice addresses (Care Compare)
501 Oak Ave
Waynesboro, VA 22980-4400
Phone (540) 941-3100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207003918 | VA | Practitioner - Physical Therapist in Private Practice | 2961845862 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070020191 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Presbyterian Home | Physical Therapist | Current |
Accepting new patients |
Locations
600 University Blvd
Harrisonburg, VA 22801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020191 | IL | Yes |
Addresses
Primary practice location
210 E College St
Energy, IL 62933-3568
Mailing address
3201 Jamie Ave
Apt B
Marion, IL 62959-5059
Other providers in Energy, IL
- Tracy Dawn Smith
- Kathryn Smolak
- Ronaksingh Thakur
- Cassandra Megan Vaughn
- Mary Ann Wildwood
- Diana E. Womack-Walters
All providers in Energy, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.