D'Niqua Williams, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P23604 Issued in NC

Practice address

106 Farm Brook Dr Unit C
Lumberton, NC 28358-2178

Phone

(919) 917-7729

Fax

(919) 400-4178

NPI assigned

Sep 17, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Revive Boost Rebuild Physical Therapy LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1194192294
  NPD

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1750118469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CORPORATION PKWY STE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101362",
            "telephone_number": "919-917-7729",
            "fax_number": "919-400-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FARM BROOK DR UNIT C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582178",
            "telephone_number": "919-917-7729",
            "fax_number": "919-400-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Corporation Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101362",
            "country_code": "US",
            "telephone_number": "919-917-7729",
            "fax_number": "919-400-4178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bratton Dr",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275297825",
            "country_code": "US",
            "telephone_number": "919-917-7729",
            "fax_number": "919-400-4178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "D'NIQUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Wieties, CRNA
• Ashley Rose Wilhelm, LCSW, LCAS
• Jessabel Noel Willard, OTR/L
• Brittnee S Williams, FNP/ENP
• Courtney Flores Williams, LCSW-A
• Donata Williams
• Erica Jazell Williams, MS, LPC, NCC
• Kadaisha Danielle Williams
• Kasey Lee Williams
• Nicole Williams, CRNA

• Physical Therapist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.