Kevin L McWilliams, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

105255 Issued in MO

Practice address

109 W Franklin St
Clinton, MO 64735-2007

Phone

(660) 383-1284

Fax

(660) 383-1285

NPI assigned

Feb 13, 2008

Last updated

May 8, 2018By 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 MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 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.

• Serc Rehabilitation Partners, LLC

  dba Serc

  • Physical Therapist
  • Belton, MO
  • NPI 1760745244
  Medicare reassignment Care Compare group NPD
• Serc of Clinton Inc

  • Physical Therapist
  • Clinton, MO
  • NPI 1295054518
  Authorized official Same address or phone
• Serc Rehabilitation Partners, LLC

  dba SERC - Liberty

  • Physical Therapy Clinic/Center
  • Kansas City, MO
  • NPI 1083978522
  NPD
• Serc Rebabilitation Partners, LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1598190209
  NPD

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1770751695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "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": "109 W FRANKLIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352007",
            "telephone_number": "660-383-1284",
            "fax_number": "660-383-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "PT,  MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "105255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Marie McClimans, SLPA
• Pamela Jean McCool, D.O.
• Crystal McCullough, DENTAL HYGIENIST
• Thomas Gordon McKenney
• Emily McKinzie, OT
• Medicalodges, Inc. (Gran Villas Clinton)
• Gwendolyn Marie Meeks, FNP-C
• Manik Mehra, M.D.
• Kristyn Poncy Menendez, MD
• Mercury Emergency Physicians, LLC

• Physical Therapist in Clinton, MO
• Providers in Clinton, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.