Jennifer Williamson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 23011 Issued in FL

Practice address

4204 Old Dominion Rd
Orlando, FL 32812-7932

Phone

(321) 945-3978

NPI assigned

Jul 15, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1811340706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 OLD DOMINION RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127932",
            "telephone_number": "321-945-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 OLD DOMINION RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127932",
            "telephone_number": "321-945-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 23011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Chiropractic and Wellness LLC
• Williamson Ferrara Gallagher & Dejesus MD PA
• Amanda Williamson, PT, DPT
• Carol Rae Williamson, OTR
• Williamson, Ferrara, Gallagher, Dejesus MD. PA
• Kayla Darnell Williamson, BS, RBT
• Meghan Riley Williamson, CF-SLP
• Meryl Joy Williamson, CRNA
• Paul Richard Williamson, MD
• Sarah Williamson

• Physical Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.