Williamson Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

004537 Issued in KY

Legal business name

WILLIAMSON PHYSICAL THERAPY, LLC

Practice address

141 East 2ND Ave., Suite 100
Williamson, WV 25661-0141

Phone

(606) 855-0346

NPI assigned

Dec 19, 2012

Last updated

Feb 3, 2015By 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

Mrs. Della Jean Bentley

Title

Owner

Phone

(606) 855-0346

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, KY2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Tiffiney Shawn Bentley, P.T.,M.S.

  • Physical Therapist
  • Williamson, WV
  • NPI 1306028097

  KY

  Medicare reassignment NPD
• Jacob Adkins, PT, DPT

  • Physical Therapist
  • Kennesaw, GA
  • NPI 1174119051
  NPD (past)
• Randy M. Brown, M.P.T.

  • Physical Therapist
  • Ashland, KY
  • NPI 1477535607
  NPD (past)

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1841536844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 AUSTIN ROAD",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "415370145",
            "telephone_number": "606-855-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 EAST 2ND AVE., SUITE 100",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256610141",
            "telephone_number": "606-855-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "DELLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-855-0346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "004537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamson Memorial Hospital
• Williamson Memorial Hospital LLC (Williamson Memorial Hospital)
• Williamson Memorial Hospital LLC (Williamson Physicians Group)
• Williamson Memorial, Inc.
• Williamson Memorial, Inc.
• Williamson Psychiatric Services
• Williamson Treatment Center, LLC
• Williamson Treatment Center, LLC
• Williamson Treatment Center, LLC
• Geri Williamson

• Physical Therapy Clinic/Center in Williamson, WV
• Providers in Williamson, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.