Jennifer Lee Williams, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA22788 Issued in FL

Practice address

118 Orange Ave
1630 Mason Ave
Daytona Beach, FL 32114-4310

Phone

(386) 252-2400

Fax

(386) 252-2414

NPI assigned

Aug 16, 2011

Last updated

Aug 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Rehab LLC

  • Physical Therapy Clinic/Center
  • Daytona Beach, FL
  • NPI 1124209119
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1831478270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ORANGE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144310",
            "telephone_number": "386-252-2400",
            "fax_number": "386-252-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ORANGE AVE",
            "address_2": "1630 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144310",
            "telephone_number": "386-252-2400",
            "fax_number": "386-252-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Chana Williams
• David L Williams, MD
• Dieshia N Williams
• Gwendolyn Patrice Williams, APRN
• Janie Williams, AFCH
• Kara Leverette Williams, M.D.
• Kathleen Ann Williams, MD
• Kylla Danielle Williams, DNP, FNP, PMHNP
• Latecia Williams
• Linda Faye Williams

• Physical Therapy Assistant in Daytona Beach, FL
• Providers in Daytona Beach, 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 Aug 16, 2011; 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.