NPIMap

Individual provider Active NPI

Amos Dyron Williams, CPT

  • Athletic Trainer
  • Clinton, MD
National Provider Identifier
1629699707
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3792500
Practice address
12103 Windbrook Dr
Clinton, MD 20735-1149
Phone
(240) 383-4800
Fax
(240) 846-1533
NPI assigned
Apr 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 3792500 Primary

Addresses

Primary practice location

12103 Windbrook Dr
Clinton, MD 20735-1149

Mailing address

PO Box 1786
Clinton, MD 20735-5786
Phone (240) 383-4800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total You Behavioral Medicine and Research Center CurrentSince May 3, 2020 Accepting new patients
Total You Integrative Medicine Center CurrentSince May 3, 2020 Accepting new patients
Total You Healthcare Systems PastSince May 3, 2020 Accepting new patients

Locations

12103 Windbrook Dr
Clinton, MD 20735
Phone (240) 383-4800

Organizations & group practices 3

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1629699707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1786",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207355786",
            "telephone_number": "240-383-4800",
            "fax_number": "240-846-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12103 WINDBROOK DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351149",
            "telephone_number": "240-383-4800",
            "fax_number": "240-846-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMOS",
        "middle_name": "DYRON",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "3792500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.