Active NPI
Buck Williams
- Physical Therapy Assistant
- Overland Park, KS
National Provider Identifier
1831385558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 769
- Practice address
- 10300 W 103Rd St
Suite 300
Overland Park, KS 66214-2642 - Phone
- (913) 894-1910
- NPI assigned
- Sep 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 769 | NE | Primary |
| Physical Therapy Assistant | 225200000X | TE007740 | PA | |
| Physical Therapy Assistant | 225200000X | 2007016469 | MO | |
| Physical Therapy Assistant | 225200000X | 001234 | IA |
Addresses
Primary practice location
10300 W 103Rd St
Suite 300
Overland Park, KS 66214-2642
Mailing address
7319 S 180TH Ave
Omaha, NE 68136-1618
Phone (402) 305-4110
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 |
|---|---|---|---|
| 001234 | IA | MD | Psychologist |
| 769 | NE | MD | Optometrist |
| 2007016469 | MO | MD | Physical Therapy Assistant |
| TE007740 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1831385558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7319 S 180TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681361618",
"telephone_number": "402-305-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 W 103RD ST",
"address_2": "SUITE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662142642",
"telephone_number": "913-894-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BUCK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-16",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "769",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE007740",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2007016469",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "001234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.