Active NPI
Michelle Renee Williams, RPT
- Physical Therapist
- Farmville, VA
National Provider Identifier
1760475552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203321
- Practice address
- 1412 W 3Rd St
Farmville, VA 23901-2648 - Phone
- (434) 392-1596
- Fax
- (434) 392-5201
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- 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 Therapist | 225100000X | 2305203321 | VA | Primary |
Addresses
Primary practice location
1412 W 3Rd St
Farmville, VA 23901-2648
Mailing address
PO Box 468
Farmville, VA 23901-0468
Phone (434) 392-4910
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23591 | Other | VA | CARE NET |
| 7276623 | Other | VA | AETNA |
| 21148 | Other | VA | UNICARE |
| 146668 | Other | VA | BLUE CROSS BLUE SHIELD |
| 65549 | Other | VA | SOUTHERN HEALTH |
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 |
|---|---|---|---|
| 2305203321 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Therapy Associates, Inc. | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Farmville, VA
- NPI 1306839089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760475552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239010468",
"telephone_number": "434-392-4910",
"fax_number": "434-392-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 W 3RD ST",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239012648",
"telephone_number": "434-392-1596",
"fax_number": "434-392-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE NET",
"identifier": "23591",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7276623",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "21148",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "146668",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "65549",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmville, VA
- Carrie Amanda Wilkes-Hoffmeister, FNP-BC, DCNP
- Michael J. Wilkowski, MD
- Cherelle Williams Espinoza, BCABA
- Laquita Shaunae Williams, LPC, CSOTP, SAC-S
- Marjorie J Williams, PHYSICAL THERAPIST
- Ashley Shull Wilson
- Charles S Wilson, M.D.
- Edwina C Wilson, MD
- Tammy Jibben Wingo, F.N.P.
- Women'S Osteopathic Medical Care, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.