Organization Active NPI

Beth Williams DC PA

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • West Palm Beach, FL
National Provider Identifier
1962500751
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
CH7399 Issued in FL
Legal business name
BETH WILLIAMS DC PA
Practice address
2328 S Congress Ave Ste 2E
West Palm Beach, FL 33406
Phone
(561) 965-8665
Fax
(561) 965-2760
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Dr. Beth Lea Williams, D.C.NPI 1568560332
Title
Chiropractor
Phone
(561) 965-8665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X CH7399 FL Primary

Addresses

Primary practice location

2328 S Congress Ave Ste 2E
West Palm Beach, FL 33406

Mailing address

2328 S Congress Ave Ste 2E
West Palm Beach, FL 33406-7674
Phone (561) 965-8665

Other identifiers 1

IdentifierTypeStateIssuer
381765200MedicaidFL

Other names 1

  • Cornerstone Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040911000011 FL Part B Supplier - Clinic/Group Practice 7113994062 Receives reassigned benefits from 2 practitioners
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

2328 S Congress Ave
Ste 2E
West Palm Beach, FL 33406
Phone (561) 965-8665

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1962500751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 S CONGRESS AVE STE 2E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067674",
            "telephone_number": "561-965-8665",
            "fax_number": "561-965-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 S CONGRESS AVE STE 2E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33406",
            "telephone_number": "561-965-8665",
            "fax_number": "561-965-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH WILLIAMS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "561-965-8665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "CH7399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381765200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.