NPI Code Detail JSON Logo

1639529894 NPI number — EMILY SCHAFFER WILLIAMS DPT

NPI Number: 1639529894
Health Care Provider/Practitioner: EMILY SCHAFFER WILLIAMS DPT

Information about “1639529894” NPI (EMILY SCHAFFER WILLIAMS DPT) exists in 1639529894 in HTML format HTML  |  1639529894 in plain Text format TXT  |  1639529894 in PDF (Portable Document Format) PDF  |  1639529894 in an XML format XML  formats.

NPI Number : 1639529894 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639529894",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "EMILY",
    "MiddleName": "SCHAFFER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHAFFER",
    "OtherFirstName": "EMILY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2001 BUTTERFIELD RD STE 1600",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOWNERS GROVE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60515-1211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-370-8206",
    "MailingAddressFaxNumber": "517-435-3670",
    "FirstLinePracticeLocationAddress": "2791 TRICOM ST STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH CHARLESTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29406-8108",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-790-8520",
    "PracticeLocationAddressFaxNumber": "843-790-8530",
    "EnumerationDate": "06/20/2016",
    "LastUpdateDate": "01/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "5996",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "8355",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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