Active NPI
Carrie Williams, MSPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1780743716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305831257
- Practice address
- 1400 Fordham Dr
Virginia Beach, VA 23464-5368 - Phone
- (757) 361-3954
- NPI assigned
- Dec 6, 2006
- 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 | 2305831257 | VA | Primary |
Addresses
Primary practice location
1400 Fordham Dr
Virginia Beach, VA 23464-5368
Mailing address
4653 Copperfield Rd
Virginia Beach, VA 23455-4858
Phone (757) 464-3680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 W 47TH St
Norfolk, VA 23529-0001
1019 W
41St
Norfolk, VA 23529-0047
Phone (757) 683-7041
309 Aragona Blvd
Suite 107 108
Virginia Beach, VA 23462-2700
Phone (757) 780-8146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305831257 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Dominion University | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 2
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
- Norfolk, VA
- NPI 1871929729
-
- Speech-Language Pathologist
- Chesapeake, VA
- NPI 1538760491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780743716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4653 COPPERFIELD RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234554858",
"telephone_number": "757-464-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FORDHAM DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645368",
"telephone_number": "757-361-3954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CARRIE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305831257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.