Jason D Williams, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002530

Practice address

125 Diana Dr
Webster Springs, WV 26288-9078

Phone

(304) 847-5682

NPI assigned

Dec 20, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Webster Memorial Hospital, Inc.

  • Critical Access Hospital
  • Webster Springs, WV
  • NPI 1679241152

  Physical Therapist

  Medicare reassignment NPD
• Mountaineer Physical Therapy & Sports Medicine

  • Physical Therapist
  • Summersville, WV
  • NPI 1528047529
  NPD (past)
• Praxis Corporation

  • Physical Therapy Clinic/Center
  • Pineville, WV
  • NPI 1669594719
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1952387110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682",
            "fax_number": "304-847-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Miller Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Webster Springs",
            "state": "WV",
            "postal_code": "262881065",
            "country_code": "US",
            "telephone_number": "304-847-5682 x3441",
            "fax_number": "304-847-5608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "002530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007237",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rikki Westfall, RN
• Paige White
• Shelli Renee White
• Carla L Williams
• Debra C Williams
• Kaitlin Williams
• Paul B Williams
• Sherry Lynn Williams
• Tonia J Williams
• Mollie Woodring

• Physical Therapist in Webster Springs, WV
• Providers in Webster Springs, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.