Dallas Williams, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1115400 Issued in TX

Practice address

127 Medical Park LN
Huntsville, TX 77340-4972

Phone

(936) 294-0283

Fax

(936) 294-9878

NPI assigned

Jan 25, 2007

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilco Theranet, LLCGroup PAC ID 2365531878, 9 clinicians

Practice addresses (Care Compare)

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.

• Wilco Theranet, LLC

  dba Physical Therapy Associates

  • Specialist
  • Huntsville, TX
  • NPI 1679667695

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Physical Therapy Associates

  • Specialist
  • Huntsville, TX
  • NPI 1659547107
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346457600000",
    "number": "1962557074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404972",
            "telephone_number": "936-294-0283",
            "fax_number": "936-294-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404972",
            "telephone_number": "936-294-0283",
            "fax_number": "936-294-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DALLAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1115400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "85643T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha D White, OT
• Anne Elizabeth Whitehead, PHARM D
• Wholeway House
• Wilco Theranet, LLC (Physical Therapy Associates)
• Betty J. Williams, M.D.
• Johnna Williams, LPC, LSOTP
• Sherrill Williams
• John Williamson, M.D.
• Patsy A Winder
• Winnie-Stowell Hospital District (Huntsville Health Care Center)

• Physical Therapist in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.