Active NPI
Cynthia Chandler Williamson, P.T.
- Physical Therapist
- Laurens, SC
National Provider Identifier
1689601429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4460
- Practice address
- 301 Pinehaven Street Ext
Laurens, SC 29360-2671 - Phone
- (864) 984-6584
- Fax
- (864) 984-6584
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4460 | SC | |
| Physical Therapist | 225100000X | 4460 | SC | Primary |
Addresses
Primary practice location
301 Pinehaven Street Ext
Laurens, SC 29360-2671
Mailing address
301 Pinehaven Street Ext
Laurens, SC 29630
Phone (864) 984-6584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1306 | Medicaid | SC |
Other names 1
- Ms. Christy Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4460 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services of South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| NHC Healthcare-Laurens LLC | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 2
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.
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
-
- Skilled Nursing Facility
- Laurens, SC
- NPI 1194760637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1689601429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PINEHAVEN STREET EXT",
"city": "LAURENS",
"state": "SC",
"postal_code": "29630",
"telephone_number": "864-984-6584",
"fax_number": "864-984-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PINEHAVEN STREET EXT",
"city": "LAURENS",
"state": "SC",
"postal_code": "293602671",
"telephone_number": "864-984-6584",
"fax_number": "864-984-6584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "CYNTHIA",
"middle_name": "CHANDLER",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "4460",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1306",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "SMITH",
"prefix": "MS.",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Laurens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.