Individual provider Active NPI

William Binns

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1689178162
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294656 Issued in CA
Practice address
2255 Challenger Way Ste 104
Santa Rosa, CA 95407-5423
Phone
(707) 545-1419
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT294656 CA Primary

Addresses

Primary practice location

2255 Challenger Way Ste 104
Santa Rosa, CA 95407-5423

Mailing address

2255 Challenger Way Ste 104
Santa Rosa, CA 95407-5423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180404000194 CA Practitioner - Physical Therapist in Private Practice 6103189196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendocino Physical Therapy 2 clinicians

Practice addresses (Care Compare)

511 S School St
Ukiah, CA 95482-5437
Phone (707) 462-9784

780 S Dora St
Ukiah, CA 95482-5348
Phone (707) 462-9784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT294656CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Physical Therapy Physical Therapist CurrentSince Sep 28, 2022 Accepting new patients
Santa Rosa Physical Therapy Physical Therapist Past Accepting new patients

Locations

846 S Dora St
Ukiah, CA 95482
Phone (707) 462-9784

511 S School St
Ukiah, CA 95482
Phone (707) 462-9784

780 S Dora St
Ukiah, CA 95482
Phone (707) 462-9784

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1689178162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 CHALLENGER WAY STE 104",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CHALLENGER WAY STE 104",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075423",
            "telephone_number": "707-545-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINNS",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.