KENNETH WILLIAMS (PT) – Physical Therapist, NPI 1255339172

KENNETH WILLIAMS (PT) is a healthcare provider. based in Offutt afb, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 2067 (NE). The NPI Number for KENNETH WILLIAMS (PT) is 1255339172

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH WILLIAMS (PT)
NPI
1255339172
Phone
Not provided
Address
2501 CAPEHART RD
Enumeration Date
13 July 2005
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4026144300
Graduation Year
2001 (25 years ago)
PAC ID
9931125085
Group Practice PAC ID
0143374124
Professional Enrollment ID
I20051027000643
Address ID
NE680057918BE555XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for KENNETH WILLIAMS (PT)

  • 2501 CAPEHART RD

    OFFUTT AFB, NE 681131043

    Phone:

    Fax: (402) 330-8616

    Type: Mailing

  • 555 CORNHUSKER RD STE 207

    BELLEVUE, NE 680057918

    Phone: (402) 614-4300

    Type: Location

  • 2403, South 133rd Plaza, Millard, Omaha, Douglas County, Nebraska, 68144, United States

    OMAHA, NE 681445905

    Phone: (402) 330-8433

    Fax: (402) 330-8616

    Type: Mailing

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: 2005-10-27

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
I20051027000643IPhysical Therapist In Private PracticeNETBD

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
97530Therapy procedure using functional activities20926$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20825$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9020$0
97162Evaluation for physical therapy, typically 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 68113)

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Provider's Procedures

KENNETH WILLIAMS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNE97001Physical therapy evaluation7366
PHYSICAL THERAPYNE97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes141969

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: 0143374124View full group profile
NameSpecialtyState
-NE
-NE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-NE
-NE
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

Where can patients find KENNETH WILLIAMS (PT)'s NPI?
You can confirm KENNETH WILLIAMS (PT) with NPI 1255339172; it appears in the national provider directory.
Is KENNETH WILLIAMS (PT) active in the national directory?
KENNETH WILLIAMS (PT)'s public NPI profile is in an active state.
Can you summarize KENNETH WILLIAMS (PT)'s specialty in plain language?
Clinically, the directory lists KENNETH WILLIAMS (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KENNETH WILLIAMS (PT)'s primary listing?
We display Offutt Afb, Nebraska because that is what the record indicates for KENNETH WILLIAMS (PT).
How can I contact KENNETH WILLIAMS (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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