Active NPI
Todd Williams, PTA
- Physical Therapy Assistant
- South Abington Township, PA
National Provider Identifier
1740709823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE011293
- Practice address
- 100 Edella Rd
South Abington Township, PA 18411-1628 - Phone
- (570) 586-1002
- NPI assigned
- Sep 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE011293 | PA | Primary |
Addresses
Primary practice location
100 Edella Rd
South Abington Township, PA 18411-1628
Mailing address
9 Emerald Drive
Throop, PA 18512
Phone (570) 579-5167
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 |
|---|---|---|---|
| TE011293 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1740709823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 EMERALD DRIVE",
"city": "THROOP",
"state": "PA",
"postal_code": "18512",
"telephone_number": "570-579-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EDELLA RD",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184111628",
"telephone_number": "570-586-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TODD",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-11",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE011293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Abington Township, PA
- Isabella Mae Watson, PA-C
- Wayne Memorial Hospital (Wayne Memorial Hospital Physician Specialty Clinic)
- William D Rotella MD PC
- Laura Ann Williams, M.S., R.D., L.D.N.
- Lorraine Weston Williams, RN
- Kelly Marie Worsnick, CRNP
- Helen Amanda Wrazien, LAPC, NCC, MS
- Heather A Yeremsky, LPC
- Mary Irene Zeunen, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.