Individual provider Active NPI

Shedel Williams, PT, DPT

  • Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1700512282
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1255659 Issued in TX
Practice address
200 Valley Wood Dr
The Woodlands, TX 77380-3571
Phone
(832) 533-5360
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 1255659 TX Primary

Addresses

Primary practice location

200 Valley Wood Dr
The Woodlands, TX 77380-3571

Mailing address

2904 La Branch St
Houston, TX 77004-2717
Phone (832) 533-5360

Other practice location 1

720 Rusk St Ste 241
Houston, TX 77002-2713
Phone (832) 748-4545

Other practice location 2

2904 La Branch St
Houston, TX 77004-2717
Phone (832) 533-5360

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1700512282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 LA BRANCH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770042717",
            "telephone_number": "832-533-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALLEY WOOD DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803571",
            "telephone_number": "832-533-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Rusk St Ste 241",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770022713",
            "country_code": "US",
            "telephone_number": "832-748-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2904 La Branch St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770042717",
            "country_code": "US",
            "telephone_number": "832-533-5360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHEDEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1255659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.