Individual provider Active NPI

Nicholas Scott Williss, DPT

  • Physical Therapist
  • Arab, AL
National Provider Identifier
1629960802
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11833 Issued in AL
Practice address
115 Almond Dr
Arab, AL 35016-3749
Phone
(256) 224-6193
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 PTH11833 AL Primary

Addresses

Primary practice location

115 Almond Dr
Arab, AL 35016-3749

Mailing address

631 Crestman Dr SW
Arab, AL 35016-6701
Phone (256) 200-6009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905000387 AL Practitioner - Physical Therapist in Private Practice 9739681123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Playwell Physical Therapy LLCGroup PAC ID 3375069446, 2 clinicians

Practice addresses (Care Compare)

115 Almond Dr
Arab, AL 35016-3749
Phone (256) 224-6193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Playwell Physical Therapy LLC Physical Therapist CurrentSince Jun 19, 2025 Accepting new patients

Locations

115 Almond Dr
Arab, AL 35016
Phone (256) 224-6193

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1629960802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CRESTMAN DR SW",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350166701",
            "telephone_number": "256-200-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ALMOND DR",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350163749",
            "telephone_number": "256-224-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISS",
        "first_name": "NICHOLAS",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arab, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.