Individual provider Active NPI

Scott Allen Williams, P.T.

  • Orthopedic Physical Therapist
  • Truckee, CA
National Provider Identifier
1720264443
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
18842 Issued in CA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former 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

LicenseStateTypeSpecialty
18842CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.