Active NPI
Charles Anthony Williams, PT.
- Physical Therapist
- Sumter, SC
National Provider Identifier
1780021998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3772
- Practice address
- 337 Manning Ave
Sumter, SC 29150-5742 - Phone
- (803) 968-4123
- Fax
- (803) 436-2279
- NPI assigned
- May 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 3772 | SC | Primary |
Addresses
Primary practice location
337 Manning Ave
Sumter, SC 29150-5742
Mailing address
1119 Shoreland Dr
Sumter, SC 29154-7025
Phone (803) 968-4123
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 |
|---|---|---|---|
| 3772 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners for Change of the Carolinas | 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.
-
- Multi-Specialty Clinic/Center
- Sumter, SC
- NPI 1356786750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1780021998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 SHORELAND DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291547025",
"telephone_number": "803-968-4123",
"fax_number": "803-436-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 MANNING AVE",
"city": "SUMTER",
"state": "SC",
"postal_code": "291505742",
"telephone_number": "803-968-4123",
"fax_number": "803-436-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHARLES",
"middle_name": "ANTHONY",
"credential": "PT.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.