MEDICARE: DR. VENNE SHEREEN WILLIAMS PT, DPT

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	2305203107	VA
2	225100000X	Physical Therapist	131	VI

General Provider Information

NPI Number	:	1255545919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VENNE SHEREEN WILLIAMS PT, DPT

Provider Business Mailing Address
First Line	:	2500 MERCHANTS ROW BLVD
Second Line	:	#168
City	:	TALLAHASSEE
State	:	FL
Zip	:	32311-3656
Country	:	US
Telephone Number	:	703-867-8383
Fax Number	:

Provider Business Practice Location Address
First Line	:	4423 ESTATE MARYS FANCY
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-5244
Country	:	US
Telephone Number	:	340-692-5000
Fax Number	:	340-692-5002

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/21/2022

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