Shaquana Williams, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4052121 Issued in TX

Practice address

305 NE Loop 280; Business Tower 1
Suite 200
Hurst, TX 76053

Phone

(817) 292-8787

Fax

(817) 789-6849

NPI assigned

May 22, 2014

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1992117121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAINT LOUIS AVE",
            "address_2": "SUITE102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043366",
            "telephone_number": "817-921-5020",
            "fax_number": "817-921-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NE LOOP 280; BUSINESS TOWER 1",
            "address_2": "SUITE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-292-8787",
            "fax_number": "817-789-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHAQUANA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "4052121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Leonard Wildey, D.D.S.
• Leah Wiley, COTA
• Nevart Willborn, LPC
• William Risk, MD, PA
• J Brianne Williams, SLP-A
• Anna Tenneh Wilson
• Lillian Wilson, LPC
• Mahogany Nicole Wilson
• Richard Paul Wilson, MD
• C Diane Winbornne, LO,BOCO, CFOM

• Physical Therapy Assistant in Hurst, TX
• Providers in Hurst, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.