Athletic Training Physiotherapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ATHLETIC TRAINING PHYSIOTHERAPY LLC

Practice address

16217 Crescent Dr SW
Vashon, WA 98070-3741

Phone

(810) 471-2384

NPI assigned

Aug 15, 2024

Last updated

Aug 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shane Williams Jr., PT, DPT, ATC, CSCSNPI 1639950058

Title

Owner

Phone

(810) 471-2384

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane Williams Jr., PT, DPT

  • Orthopedic Physical Therapist
  • Vashon, WA
  • NPI 1639950058
  NPD Authorized official

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1831921212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16217 CRESCENT DR SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980703741",
            "telephone_number": "810-471-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16217 CRESCENT DR SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980703741",
            "telephone_number": "810-471-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC TRAINING PHYSIOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-471-2384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Kendal Alton
• Dianna Jean Ammon, LMP
• Andra Devoght, PT, MPH
• Mara Andrus
• Jutta Elisabeth Ataie, PH.D., LICSW
• Mary Lanae Ayers, MA
• Seema Badrbigi, PHARMD
• Ball Sports Performance and Physical Therapy PLLC
• Michael Ball, PT
• Amelia B Barbre-Strayer

• Physical Therapy Clinic/Center in Vashon, WA
• Providers in Vashon, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.