Individual provider Active NPI

Mishael Alvern Cato Williams

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1659415719
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7103 Issued in AL
Practice address
1313 Ashley River Road
Charleston, SC 29407-5315
Phone
(843) 766-3888
Fax
(843) 766-3478
NPI assigned
Feb 20, 2007
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2522 SC
Physical Therapist 225100000X PTH7103 AL Primary

Addresses

Primary practice location

1313 Ashley River Road
Charleston, SC 29407-5315

Mailing address

2700 Triana Blvd SW
Huntsville, AL 35805-4046
Phone (256) 885-9708

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000324 AL Practitioner - Physical Therapist in Private Practice 4486176260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2522SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation & Neurological Services LLC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Rehabilitation & Neurological Services LLC CurrentSince Jan 15, 2025 Accepting new patients
PHC Rehab, Inc. Past Accepting new patients
PHC Rehab, Inc Physical Therapist Past Accepting new patients

Locations

2700 Triana Blvd SW
Huntsville, AL 35805
Phone (256) 885-9705

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1659415719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TRIANA BLVD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358054046",
            "telephone_number": "256-885-9708",
            "fax_number": "256-883-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 ASHLEY RIVER ROAD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075315",
            "telephone_number": "843-766-3888",
            "fax_number": "843-766-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATO WILLIAMS",
        "first_name": "MISHAEL",
        "middle_name": "ALVERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2522",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.