Connor Allen Williamson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298848 Issued in CA

Practice address

1060 Camerado Dr
Cameron Park, CA 95682-8864

Phone

(530) 676-7184

Fax

(530) 676-7138

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cameron Park Physical Therapy Center IncGroup PAC ID 8426036765, 4 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.

• Cameron Park Physical Therapy Center, Inc.

  • Physical Therapist
  • Cameron Park, CA
  • NPI 1548368186
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1740895903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CAMERADO DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828864",
            "telephone_number": "530-676-7184",
            "fax_number": "530-676-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CAMERADO DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828864",
            "telephone_number": "530-676-7184",
            "fax_number": "530-676-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "CONNOR",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #10599)
• We Are All the Same Adult Day Program LLC
• Christopher Thomas Weston, AMFT
• Amanda Frances Wilkinson, LPCC
• Kay Marie Williams, LMFT
• Linn Douglas Williamson
• Winnie Lei, OD, Inc
• Marlene Woertz, M.A., L.M.F.T.
• Bradley John Wojcik, PHARM D
• Tatiana Wolf

• Physical Therapist in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.