MR. PHILLIP ROBERT WILLIAMS (P.T.) – Physical Therapist, NPI 1700960473

MR. PHILLIP ROBERT WILLIAMS (P.T.) is a healthcare provider. based in Richmond, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 004994 (KY). The NPI Number for MR. PHILLIP ROBERT WILLIAMS (P.T.) is 1700960473

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. PHILLIP ROBERT WILLIAMS (P.T.)
NPI
1700960473
Phone
(859) 623-2057
Address
1054 CENTER DR
Enumeration Date
25 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592754878
Graduation Year
2006 (20 years ago)
PAC ID
2668959677
Group Practice PAC ID
8729983218
Professional Enrollment ID
I20260121003060
Address ID
KY405091806LE101XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

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Provider Addresses for MR. PHILLIP ROBERT WILLIAMS (P.T.)

  • 1054, Center Drive, Richmond, Madison County, Kentucky, 40475, United States

    SUITE 1

    RICHMOND, KY 404753851

    Phone: (859) 623-2057

    Fax: (859) 623-2058

    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: 2026-01-21

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
I20260121003060IPhysical Therapist In Private PracticeKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40475)

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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: 8729983218View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Medicine And RehabilitationKY
P S Y C H I A T R YKY

Reviews

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Frequently asked questions

Is there an official ID for MR. PHILLIP ROBERT WILLIAMS (P.T.) in U.S. healthcare records?
The official identifier for MR. PHILLIP ROBERT WILLIAMS (P.T.) is NPI 1700960473.
Is there an active status for MR. PHILLIP ROBERT WILLIAMS (P.T.)?
For scheduling context, MR. PHILLIP ROBERT WILLIAMS (P.T.) is shown as active in the registry.
What kind of doctor is MR. PHILLIP ROBERT WILLIAMS (P.T.)?
MR. PHILLIP ROBERT WILLIAMS (P.T.) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. PHILLIP ROBERT WILLIAMS (P.T.)?
Travel planning: use Richmond, Kentucky as the reference point for MR. PHILLIP ROBERT WILLIAMS (P.T.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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