Active NPI
Scott Allen Williams, P.T.
- Orthopedic Physical Therapist
- Truckee, CA
National Provider Identifier
1720264443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 18842
- Practice address
- 11890 Donner Pass Rd
Suite 1
Truckee, CA 96161-0448 - Phone
- (530) 550-0400
- Fax
- (530) 820-9667
- NPI assigned
- Jan 11, 2008
- Last updated
- Dec 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 18842 | CA | Primary |
Addresses
Primary practice location
11890 Donner Pass Rd
Suite 1
Truckee, CA 96161-0448
Mailing address
11890 Donner Pass Rd
Suite 1
Truckee, CA 96161-0448
Phone (530) 550-0400
Other names 1
- No Other Name
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18842 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Healing Arts, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1720264443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11890 DONNER PASS RD",
"address_2": "SUITE 1",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610448",
"telephone_number": "530-550-0400",
"fax_number": "530-820-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11890 DONNER PASS RD",
"address_2": "SUITE 1",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610448",
"telephone_number": "530-550-0400",
"fax_number": "530-820-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SCOTT",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "18842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NO",
"last_name": "NAME",
"middle_name": "OTHER",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.