Revan Sierra Williams, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1405160 Issued in TX

Practice address

3930 Glade Rd Ste 124
Colleyville, TX 76034-5932

Phone

(817) 886-3783

Fax

(817) 438-7776

NPI assigned

Feb 17, 2025

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Texas Limited PartnershipGroup PAC ID 6608868070, 91 clinicians

BCT Therapy Management LLCGroup PAC ID 6305202771, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• BCT Therapy Management LLC

  dba FYZICAL Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Colleyville, TX
  • NPI 1538878038
  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Texas Limited Partnership

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Tomball, TX
  • NPI 1770254179
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1710782404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 WILLOWLAKE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685091",
            "telephone_number": "214-938-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 GLADE RD STE 124",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345932",
            "telephone_number": "817-886-3783",
            "fax_number": "817-438-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REVAN",
        "middle_name": "SIERRA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1405160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Willhite, LPC
• William E Wallace DO
• Ashley Jordan Williams, BCBA
• Cameron Jacob Williams, DC
• Navene N Williams
• Lily Wilson
• Tatum Jane Wilson, M.S., CCC-SLP
• Madeline Wingard
• Thomas Winters, PHARMD
• Kirstein Womack, PT, DPT

• Physical Therapist in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.