Justin Tyrell Williams

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

33893 Issued in FL

Practice address

500 N Washington Ave Ste 107
Titusville, FL 32796-2759

Phone

(321) 269-0800

Fax

(321) 383-0404

NPI assigned

Mar 4, 2025

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coast Physical Therapy, Inc

  • Physical Therapist
  • Titusville, FL
  • NPI 1053483685
  NPD

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1700684081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON AVE STE 107",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962759",
            "telephone_number": "321-269-0800",
            "fax_number": "321-383-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON AVE STE 107",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962759",
            "telephone_number": "321-269-0800",
            "fax_number": "321-383-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUSTIN",
        "middle_name": "TYRELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "33893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wild
• William F Rylander M D P a
• Alexis M Williams, RBT
• Amy Beth Williams
• Darin Lee Williams
• Lesley Denise Williams, LMT
• Rachel Williams
• Rondanielle Sincerity Williams, RN, MSN
• Sue Ellen Williams, LMT
• Sylvia Diane Williams

• Physical Therapy Assistant in Titusville, FL
• Providers in Titusville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.