Shane Williams Jr., PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

61477372 Issued in WA

Practice address

17630 Vashon Hwy SW
Vashon, WA 98070

Phone

(206) 657-7879

NPI assigned

Oct 11, 2023

Last updated

Aug 21, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Athletic Training Physiotherapy LLC

  • Physical Therapy Clinic/Center
  • Vashon, WA
  • NPI 1831921212
  NPD Authorized official

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1639950058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16217 CRESCENT DR SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980703741",
            "telephone_number": "810-471-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17630 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "98070",
            "telephone_number": "206-657-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANE",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "61477372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Waterbury, LMHC
• Jessica A. Wesch, MD
• Elizabeth Torbert White, LICSW
• Meg C White, MA LMHC
• Lynette J Willers, L.M.P.
• Alison Rae Winegardner
• Hilary Wogan, MS.,LF
• Katie Leigh Wolny, LMP
• Vanessa Marie Wood, LMT
• Steven James Wren, LMHC

• Orthopedic Physical Therapist in Vashon, WA
• Providers in Vashon, WA by specialty
• Orthopedic Physical Therapist in Washington

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