CONNOR ALLEN WILLIAMSON – Physical Therapist, NPI 1740895903

CONNOR ALLEN WILLIAMSON is a healthcare provider. based in Cameron park, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 298848 (CA). The NPI Number for CONNOR ALLEN WILLIAMSON is 1740895903

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CONNOR ALLEN WILLIAMSON
NPI
1740895903
Phone
(530) 676-7184
Address
1060 CAMERADO DR
Enumeration Date
14 September 2020
Last Update Date
14 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5306767184
Graduation Year
2020 (6 years ago)
PAC ID
2668891185
Group Practice PAC ID
8426036765
Professional Enrollment ID
I20201002001530
Address ID
CA956828864CA1060XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for CONNOR ALLEN WILLIAMSON

  • 1060 CAMERADO DR

    CAMERON PARK, CA 956828864

    Phone: (530) 676-7184

    Fax: (530) 676-7138

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201002001530IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,678168$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,100159$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes958168$0
97161Evaluation for physical therapy, typically 20 minutes9790$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care7731$0
View full utilization report →

Insurance plans in this area (ZIP 95682)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426036765View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

Can I verify CONNOR ALLEN WILLIAMSON with an NPI only?
You can start verification with NPI 1740895903 for CONNOR ALLEN WILLIAMSON, then check state licensing separately.
Is CONNOR ALLEN WILLIAMSON still practicing?
CONNOR ALLEN WILLIAMSON is currently listed as active in the public NPI registry.
What taxonomy line describes CONNOR ALLEN WILLIAMSON?
For research purposes, treat CONNOR ALLEN WILLIAMSON as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CONNOR ALLEN WILLIAMSON?
CONNOR ALLEN WILLIAMSON's geographic hint is Cameron Park, California in our summary view.
Is the information about CONNOR ALLEN WILLIAMSON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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