MEDICARE: HEIDI WILLIAMSON PRADO

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	03333	SC
2	225100000X	Physical Therapist	PT006795	GA

General Provider Information

NPI Number	:	1407718299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI WILLIAMSON PRADO

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	5710 OGEECHEE RD STE 440
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-9515
Country	:	US
Telephone Number	:	912-777-3378
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/08/2025

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Directions to “ HEIDI WILLIAMSON PRADO ” Practice Location

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