Daryl R Williams, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006198 Issued in KY

Practice address

3052 Bardstown Rd
Louisville, KY 40205-3020

Phone

(502) 454-5544

Fax

(502) 454-5562

NPI assigned

Feb 21, 2013

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

Enrolled in KY

Enrollment records 1

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 and National Provider Directory roles.

• Prorehab Louisville

  • Physical Therapist
  • Crestwood, KY
  • NPI 1982473880
  Medicare reassignment NPD
• Prorehab Louisville

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1700282589

  Physical Therapist

  NPD
• Prorehab Louisville, LLC

  • Physical Therapy Clinic/Center
  • Scottsburg, IN
  • NPI 1053161349

  Physical Therapist

  NPD

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1891035382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 ZARING MILL CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413052",
            "telephone_number": "502-767-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053020",
            "telephone_number": "502-454-5544",
            "fax_number": "502-454-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DARYL",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KO80280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Maevon Williams, BCBA, LBA
• Crystal Mae Williams, LCSW
• Cynthia R Williams, PA-C
• Daniel Allen Williams, APRN
• Danita Williams
• Demarco Williams
• Deshawn Lamont Williams, BA
• Domini Williams, APRN
• Erica D Williams, M.D.
• Evan Williams

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.