Active NPI
Carlo Travis Williams, DPT
- Physical Therapist
- Fayetteville, NC
National Provider Identifier
1730342981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15997
- Practice address
- 2014 Litho PL
Fayetteville, NC 28304-2518 - Phone
- (910) 484-2091
- Fax
- (910) 484-7456
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009359 | GA | |
| Physical Therapist | 225100000X | P15997 | NC | Primary |
Addresses
Primary practice location
2014 Litho PL
Fayetteville, NC 28304-2518
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009359 | GA | MD | Physical Therapist |
| P15997 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy and Hand Specialists, LLC | Physical Therapist | Past | Accepting new patients |
| Atlanta Sport & Spine Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Greensboro, NC
- NPI 1518382357
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922294073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1730342981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 LITHO PL",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042518",
"telephone_number": "910-484-2091",
"fax_number": "910-484-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CARLO",
"middle_name": "TRAVIS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009359",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.