Audrey Williams, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070020191 Issued in IL

Practice address

210 E College St
Energy, IL 62933-3568

Phone

(618) 942-7014

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Virginia Commonwealth University, School of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Sunnyside Presbyterian HomeGroup PAC ID 9739107665, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunnyside Presbyterian Home

  dba Sunnyside Communities Outpatient Rehab Services

  • Physical Therapist
  • Waynesboro, VA
  • NPI 1710752795
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1609298389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 JAMIE AVE",
            "address_2": "APT B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E COLLEGE ST",
            "city": "ENERGY",
            "state": "IL",
            "postal_code": "629333568",
            "telephone_number": "618-942-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AUDREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Dawn Smith, LCPC
• Kathryn Smolak
• Ronaksingh Thakur, PT
• Cassandra Megan Vaughn, RN
• Mary Ann Wildwood, LCSW
• Diana E. Womack-Walters, LCSW

• Physical Therapist in Energy, IL
• Providers in Energy, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.