Darryl Williams, P.T.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT26197 Issued in CA

Practice address

5725 Ralston St
Suite 103
Ventura, CA 93003-6053

Phone

(805) 658-6964

NPI assigned

Nov 6, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cornerstone Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • San Bernardino, CA
  • NPI 1447343223
  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1770810087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BISBY AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954828839",
            "telephone_number": "951-204-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 RALSTON ST",
            "address_2": "SUITE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036053",
            "telephone_number": "805-658-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DARRYL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26197",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT26197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William a. Beuttler, M.D., Inc.
• William T Klope MD Inc a Medical Corporation
• Williams Physical Therapy, Inc
• Karen R Williams-Jones, LVN
• Angela Williams
• Eddie Lee Williams IV
• Janae Michelle Williams
• Karmen McVoy Williams, PT
• Lisa Williams
• Michael Erle Williams, MD

• Physical Therapy Clinic/Center in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.