William Samuel Williams, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1111490 Issued in TX

Practice address

10223 W Broadway
Suite B
Pearland, TX 77584

Phone

(713) 436-3900

Fax

(713) 436-3904

NPI assigned

Jan 12, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Proactive Physical Therapy Centers, PLLC

  • Physical Therapist
  • Pearland, TX
  • NPI 1851454326
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1659422293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 W BROADWAY",
            "address_2": "SUITE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-436-3900",
            "fax_number": "713-436-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 W BROADWAY",
            "address_2": "SUITE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-436-3900",
            "fax_number": "713-436-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WILLIAM",
        "middle_name": "SAMUEL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1111490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "1111490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnice Williams
• Sydney Brielle Williams, RN
• Taylor L Williams, M.ED., LPC, LCDC
• Valerie Williams
• Wanda Williams
• Brandy Willis
• Chasidey Willis
• Katrina Willis, FNP-C
• Eric F Willmore Jr., SURGICAL ASSISTANT
• Ciarra Wilmore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.