DALLAS WILLIAMS (P.T.) – Physical Therapist, NPI 1962557074

DALLAS WILLIAMS (P.T.) is a healthcare provider. based in Huntsville, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 1115400 (TX). The NPI Number for DALLAS WILLIAMS (P.T.) is 1962557074

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DALLAS WILLIAMS (P.T.)
NPI
1962557074
Phone
(936) 294-0283
Address
127 MEDICAL PARK LN
Enumeration Date
25 January 2007
Last Update Date
1 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9362940283
Graduation Year
1997 (29 years ago)
PAC ID
8921198037
Group Practice PAC ID
2365531878
Professional Enrollment ID
I20250424000965
Address ID
TX773404972HU127XXLNXX400
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

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for DALLAS WILLIAMS (P.T.)

  • Medical Park, Medical District, Longwood, Huntsville, Madison County, Alabama, United States

    HUNTSVILLE, TX 773404972

    Phone: (936) 294-0283

    Fax: (936) 294-9878

    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: 2025-04-24

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
I20250424000965IPhysical Therapist In Private PracticeTXTBD

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 77340)

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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: 2365531878View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyTX
Interventional Pain Management, Physical Medicine And RehabilitationTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

What is DALLAS WILLIAMS (P.T.)'s NPI number?
DALLAS WILLIAMS (P.T.)'s NPI is 1962557074 — the number used across U.S. healthcare to identify this provider.
Would DALLAS WILLIAMS (P.T.) appear as active to a payer?
You can treat DALLAS WILLIAMS (P.T.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DALLAS WILLIAMS (P.T.)?
DALLAS WILLIAMS (P.T.)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DALLAS WILLIAMS (P.T.)?
Travel planning: use Huntsville, Texas as the reference point for DALLAS 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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