Active NPI
Karon Williams
- Recreation Therapist
- Charlotte, NC
National Provider Identifier
1629499181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- Practice address
- 5801 Rupert LN
Charlotte, NC 28215-2347 - Phone
- (704) 634-6994
- NPI assigned
- Dec 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Recreation Therapist | 225800000X | Primary | ||
| Other Specialist/Technologist | 246Z00000X |
Addresses
Primary practice location
5801 Rupert LN
Charlotte, NC 28215-2347
Mailing address
5801 Rupert LN
Charlotte, NC 28215-2347
Phone (704) 634-6994
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413590400000",
"number": "1629499181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 RUPERT LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152347",
"telephone_number": "704-634-6994",
"fax_number": "704-537-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 RUPERT LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282152347",
"telephone_number": "704-634-6994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-30",
"last_updated": "2014-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.