=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093626038
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRIAN WILLIAMS DPT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2026
-----------------------------------------------------
Last Update Date | 09/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1760 RESTON PKWY STE 403
-----------------------------------------------------
City | RESTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20190-3360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-230-1760
-----------------------------------------------------
Fax | 703-230-1761
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1760 RESTON PKWY STE 403
-----------------------------------------------------
City | RESTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20190-3360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-230-1760
-----------------------------------------------------
Fax | 703-230-1761
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 2305218029
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------