Shelby Williams

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

46TR01200000 Issued in NJ

Practice address

1075 Washington Blvd
Robbinsville, NJ 08691-3119

Phone

(609) 900-2610

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1962229930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BETH DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573022",
            "telephone_number": "856-304-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 WASHINGTON BLVD",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913119",
            "telephone_number": "609-900-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NJ",
            "license": "46TR01200000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Washington Township Fire Department
• Washington Wellness Center PC
• Kimberly Watts, LPN
• Devon Welsh, BCBA
• Desiree Wilson, DC
• Sarah Jane Wood, COTA/L
• Parissa Yazdanpanah, D.D.S
• Frederick York, PT
• Sarah Louise Zamorski, CRNP

• Pediatric Rehabilitation Medicine Physician in Robbinsville, NJ
• Providers in Robbinsville, NJ by specialty
• Pediatric Rehabilitation Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.