Brian Robert Williamson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12361 Issued in CA

Practice address

1505 Meridian Ave
Ste a
San Jose, CA 95125-5353

Phone

(408) 264-6643

Fax

(408) 264-6652

NPI assigned

Nov 21, 2005

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doorstep Physical Therapy CorpGroup PAC ID 5496278319, 2 clinicians

Practice addresses (Care Compare)

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.

• Doorstep Physical Therapy Corp

  • Physical Therapist
  • San Jose, CA
  • NPI 1720883275
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1841273208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MERIDIAN AVE",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255353",
            "telephone_number": "408-264-6643",
            "fax_number": "408-264-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MERIDIAN AVE",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255353",
            "telephone_number": "408-264-6643",
            "fax_number": "408-264-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Williams
• Taneathia Tamayo Williams
• Teresa Williams
• Tykiesha Williams
• Vanda Laquisha Williams
• Theresa Clark Williamson, PT
• Joyce Willis, MS,CCC-SLP
• Julie Willis
• Marque Willis
• Kathleen Willman

• Physical Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.