Individual provider Active NPI

William Reid Lawson, PT,DPT

  • Physical Therapist
  • Jesup, GA
National Provider Identifier
1821329269
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33312 Issued in FL
Practice address
397 Austin Ave
Jesup, GA 31546-3645
Phone
(912) 256-0113
NPI assigned
Jan 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0003081 GA
Physical Therapist 225100000X PT33312 FL Primary

Addresses

Primary practice location

397 Austin Ave
Jesup, GA 31546-3645

Mailing address

397 Austin Ave
Jesup, GA 31546-3645
Phone (912) 256-0113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822003831 FL Practitioner - Physical Therapist in Private Practice 7214051044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Quest - Venice LLCGroup PAC ID 9739125964, 44 clinicians

Practice addresses (Care Compare)

400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003081GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Quest-Port Charlotte LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Fitness Quest - Venice LLC CurrentSince Aug 12, 2024 Accepting new patients
Fitness Quest West Villages, LLC CurrentSince Aug 12, 2024 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Fitness Quest - North Port LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Lawson Physical Therapy Current Accepting new patients
Advanced Health Care Center PastSince Feb 1, 1996 Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

2530 Bobcat Village Center Rd
Unit C
North Port, FL 34288
Phone (941) 426-7400

3479 Precision Dr
Ste 115
North Venice, FL 34275
Phone (941) 275-6377

1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700

400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1821329269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 AUSTIN AVE",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315463645",
            "telephone_number": "912-256-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 AUSTIN AVE",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315463645",
            "telephone_number": "912-256-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "WILLIAM",
        "middle_name": "REID",
        "name_prefix": "Mr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "0003081",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.