MEDICARE: DR. ROBERT WILLIAMS PT, DPT, OCS, CSCS

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	2251X0800X	Orthopedic Physical Therapist	3983	NV
2	225100000X	Physical Therapist	29364	FL

General Provider Information

NPI Number	:	1700291242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WILLIAMS PT, DPT, OCS, CSCS

Provider Business Mailing Address
First Line	:	9310 SUN CITY BLVD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-1705
Country	:	US
Telephone Number	:	725-726-7847
Fax Number	:	725-726-7876

Provider Business Practice Location Address
First Line	:	9310 SUN CITY BLVD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-1705
Country	:	US
Telephone Number	:	725-726-7847
Fax Number	:	725-726-7876

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

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	09/06/2024

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