Nysa R Williams, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33616 Issued in CA

Practice address

130 Avenida Cabrillo Ste C
San Clemente, CA 92672-5509

Phone

(800) 943-3651

NPI assigned

Jan 23, 2006

Last updated

Oct 9, 2019By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Define Wellness and Physical Therapy IncGroup PAC ID 5890186936, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Define Wellness and Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • San Juan Capistrano, CA
  • NPI 1043816051

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Wheenk LLC

  dba Wheenk Physical Therapy

  • Physical Therapist
  • San Clemente, CA
  • NPI 1952349599
  NPD
• Greathouse Chiropractic Inc

  • Chiropractor
  • San Clemente, CA
  • NPI 1902959778
  NPD (past)
• Inbalance, a Women's Health & Wellness Center, Inc.

  dba In Balance

  • Physical Therapy Clinic/Center
  • San Juan Capistrano, CA
  • NPI 1609929058
  NPD (past)
• Kristin M Massamiri

  dba Wheenk Physical Therapy

  • Physical Therapist
  • San Clemente, CA
  • NPI 1215176375
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1861462061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVENIDA CABRILLO STE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725509",
            "telephone_number": "800-943-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 AVENIDA CABRILLO STE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725509",
            "telephone_number": "800-943-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NYSA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94223327",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@wheenk.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "130 Avenida Cabrillo Ste C",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926725509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mia Grajeda Willard, LCSW
• William Capobianco, D.D.S., Inc (San Clemente Advanced Dental Care)
• William Van Der Reis MD Inc
• William W Martin PHD PC
• Chandra Williams
• Shawn Williams
• Tricia Lynette Williams, DDS
• Katie Lynn Williamson, RBT
• Kelsey Wilson
• Kimberly Wilson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.