Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Phillip Robert Williams, PT

Individual provider Physical Therapist · NPI 1700960473

Mr. Phillip Robert Williams, PT is a Physical Therapist in Private Practice in Richmond, Kentucky. Qualified in 2006, 20 years ago. Practices with Manoochehr Mazloomdoost PSC, a 5-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
20
Licensed in
KY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1054 Center Dr Ste 1
Richmond, KY 40475-3851
Phone: (859) 623-2057
Fax: (859) 623-2058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 004994 (KY)

Record details

NPI number1700960473
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1054 Center Dr, Suite 1, Richmond, KY 40475-3851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Manoochehr Mazloomdoost Psc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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