MEDICARE: ERIN 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	PT60892750	WA

General Provider Information

NPI Number	:	1346630415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN WILLIAMS PT

Provider Business Mailing Address
First Line	:	2170 W IRONWOOD CENTER DR
Second Line	:	STE B
City	:	COEUR D ALENE
State	:	ID
Zip	:	83814-2606
Country	:	US
Telephone Number	:	208-677-1988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1536 3RD AVE
Second Line	:	5TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10028-2167
Country	:	US
Telephone Number	:	212-861-2630
Fax Number	:	212-861-2685

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

Provider Enumeration Date	:	01/28/2015
Last Update Date	:	04/16/2020

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Directions to “ ERIN WILLIAMS PT” Practice Location

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