Bradley C Williams, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1026 Issued in ID

Practice address

491 Caswell Ave W
Twin Falls, ID 83301-3743

Phone

(208) 736-0887

Fax

(208) 736-0890

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Twin Falls Physical Therapy and Wellness Clinic

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1174630750
  NPD (past) Authorized official
• Lifestyles Therapy & Wellness Center Inc.

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1013189596
  NPD (past)
• Wright Physical Therapy, LLC

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1922279785
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1841255015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1886",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833031886",
            "telephone_number": "208-736-0887",
            "fax_number": "208-736-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 CASWELL AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013743",
            "telephone_number": "208-736-0887",
            "fax_number": "208-736-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRADLEY",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "T4702",
            "identifier": "BLUE CROSS",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William F May MD PA
• Williams and Williams LLC
• Williams Chiropractic Pain Relief Clinic PC
• Andrea Williams
• Blake Paul Williams
• Brittney Williams
• John Albert Williams, PTA
• Keri Nicole Williams, LMSW
• Monte Paul Williams, DDS
• Spencer Geyer Williams, DC

• Physical Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.