Active NPI
Reagan Leslie Williams, PT
- Physical Therapist
- Franklin, NC
National Provider Identifier
1891743530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2880
- Practice address
- 96 Macon Center Dr
Franklin, NC 28734-6779 - Phone
- (828) 369-9103
- Fax
- (828) 369-9659
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2880 | NC | Primary |
Addresses
Primary practice location
96 Macon Center Dr
Franklin, NC 28734-6779
Mailing address
96 Macon Center Dr
Franklin, NC 28734-6779
Phone (828) 369-9103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079W6 | Other | NC | BC PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2880 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1891743530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 MACON CENTER DR",
"city": "FRANKLIN",
"state": "NC",
"postal_code": "287346779",
"telephone_number": "828-369-9103",
"fax_number": "828-369-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 MACON CENTER DR",
"city": "FRANKLIN",
"state": "NC",
"postal_code": "287346779",
"telephone_number": "828-369-9103",
"fax_number": "828-369-9659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "REAGAN",
"middle_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER #",
"identifier": "079W6",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.