MEDICARE: TERI A WILLIAMS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070009184	IL

General Provider Information

NPI Number	:	1215903422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERI A WILLIAMS PT

Provider Business Mailing Address
First Line	:	PO BOX 268
Second Line	:
City	:	FREEPORT
State	:	IL
Zip	:	61032-0268
Country	:	US
Telephone Number	:	815-599-7950
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 W MAIN ST
Second Line	:
City	:	LENA
State	:	IL
Zip	:	61048-9247
Country	:	US
Telephone Number	:	815-369-3300
Fax Number	:	815-947-3236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	06/04/2026

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Directions to “ TERI A WILLIAMS PT” Practice Location

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