Active NPI
Mindy Marie Williams, LMT, CMT
- Mechanotherapist
- Norco, CA
National Provider Identifier
1679915581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 37910
- Practice address
- 2395 Hamner Ave
Norco, CA 92860-2674 - Phone
- (951) 736-8079
- Fax
- (951) 736-9695
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 37910 | CA | Primary |
Addresses
Primary practice location
2395 Hamner Ave
Norco, CA 92860-2674
Mailing address
1065 Curtis Dr
Norco, CA 92860-2320
Phone (951) 316-1251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37910 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1679915581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 CURTIS DR",
"city": "NORCO",
"state": "CA",
"postal_code": "928602320",
"telephone_number": "951-316-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 HAMNER AVE",
"city": "NORCO",
"state": "CA",
"postal_code": "928602674",
"telephone_number": "951-736-8079",
"fax_number": "951-736-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MINDY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMT, CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "CA",
"license": "37910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.