Johna Williams

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1117067 Issued in TX

Practice address

4100 Moores LN
Texarkana, TX 75503-5102

Phone

(903) 223-0282

NPI assigned

Dec 1, 2011

Last updated

Dec 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Rehab Staffing, LLCGroup PAC ID 6305203548, 3 clinicians

Mount Pleasant Physical Therapy PCGroup PAC ID 7315985694, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mount Pleasant Physical Therapy PC

  • Physical Therapist
  • New Boston, TX
  • NPI 1366497570
  Medicare reassignment Care Compare group NPD
• Southern Rehab Staffing, LLC

  • Physical Therapist
  • Texarkana, TX
  • NPI 1851093777
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1639447915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 HIGHWAY 98 W",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035102",
            "telephone_number": "903-223-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1117067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Wiley, C.R.N.A.
• Genny Lynn Willett, PHARMD
• Angel Monic Williams, RPH
• Blake Williams
• Daveeda Gailes Williams, PROVIDER
• Marcella Coleman Williams, APRN-BC
• Nikia Williams, LVN
• Robyn Renee Williams, NP
• Susan Williams
• Tamika Williams

• Physical Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.