Shane Williams (NPI# 1073157608, PAC ID# 2668805805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1073157608 |
| PAC ID by PECOS | 2668805805 |
| Professional Enrollment ID | I20191203000105 |
| Full Name | Shane Williams |
| Organization Legal Name | BACK TO HEALTH PHYSICAL THERAPY, PC |
| Address |
2004 Seagirt Blvd Far Rockaway NY 11691-2802 |
| Phone Number | 7188688668 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2019 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 5193782621 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 535 Flushing Ave, Brooklyn, NY 11205-1610 | 7814887272 | ROAD TO RECOVERY PHYSICAL THERAPY, P.C. |
| 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 | 7188688668 | BACK TO HEALTH PHYSICAL THERAPY, PC |
| Organization Legal Name | BACK TO HEALTH PHYSICAL THERAPY, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vignesh Rao | Physical Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Victoria Vaysman | Occupational Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Mark Vaysman | Physical Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Street Address |
2004 SEAGIRT BLVD |
| City | FAR ROCKAWAY |
| State | NY |
| Zip | 11691-2802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vignesh Rao | Physical Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Victoria Vaysman | Occupational Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Mark Vaysman | Physical Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Maya Rankova | Internal Medicine | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valeriy Kayrov | Osteopathic Manipulative Medicine | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | |
| Ganna Plotkina | Psychologist, Clinical | Psychological Health Services PC | 210 Beach 47th St, Seaview Manor Adult Hm, Far Rockaway, NY 11691-1110 |
| Vicki D Mayo | Clinical Psychologist | Psychological Health Services P.C. | 210 Beach 47th St, Far Rockaway, NY 11691-1110 |
| Linda E Ednalino | Internal Medicine | 353 Beach 48th St, Far Rockaway, NY 11691-1120 | |
| Shonette Miller Costen | Nurse Practitioner | Advantagecare Physicians PC | 2915 Far Rockaway Blvd, Far Rockaway, NY 11691-1941 |
| Ian D Prescott | Internal Medicine | Advantagecare Physicians PC | 2915 Far Rockaway Blvd, Far Rockaway, NY 11691-1941 |
| Mekala Ramgopal | Gastroenterology | 2124 Camp Rd, Far Rockaway, NY 11691-2721 | |
| Robert Farron | Family Medicine | 2240 Mott Ave, Far Rockaway, NY 11691-3070 | |
| Vijayadeepthi Vadarevu | Physical Therapy | B Stern Physical Therapy P.C. | 440 Beach 21st St, Far Rockaway, NY 11691-3612 |
| Dana Manza | Clinical Social Worker | New Horizon Counseling Center Inc | 242 Beach 20th St, Far Rockaway, NY 11691-3618 |
| Find all physicians in zip 11691 | |||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | FAR ROCKAWAY + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Shane Williams.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.