Individual provider Active NPI

Adrian Williams, PT

  • Physical Therapist
  • Amherst, OH
National Provider Identifier
1992867386
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10270 Issued in OH
Practice address
1317 Cooper Foster Park Rd
Amherst, OH 44001-1201
Phone
(440) 282-3341
Fax
(440) 282-9153
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10270 OH Primary

Addresses

Primary practice location

1317 Cooper Foster Park Rd
Amherst, OH 44001-1201

Mailing address

1317 Cooper Foster Park Rd
Amherst, OH 44001-1201
Phone (440) 282-3341

Other identifiers 1

IdentifierTypeStateIssuer
2412606MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000628 OH Practitioner - Physical Therapist in Private Practice 2567625783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Cleveland University of Medicine and Surgery - NLG, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1317 Cooper Foster Park Rd
Amherst, OH 44001-1201
Phone (440) 282-3341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10270OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Consultants, Inc Physical Therapist CurrentSince Jan 6, 2003 Accepting new patients

Locations

1317 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 282-3341

38530 Chester Rd
Ste 1
Avon, OH 44011
Phone (440) 934-2947

457 Griswold Rd
Elyria, OH 44035
Phone (440) 324-3050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1992867386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011201",
            "telephone_number": "440-282-3341",
            "fax_number": "440-282-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011201",
            "telephone_number": "440-282-3341",
            "fax_number": "440-282-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ADRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.