Taylor N Williams, DPTLICENSEPT-6769
Taylor N Williams, DPTLICENSEPT-6769 is a Physical Therapist in Private Practice in Eagle, Idaho. Qualified in 2020, 6 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 6
- Licensed in
- ID
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
875 E Plaza DrEagle, ID 83616-6548
Phone: (208) 939-0886
Fax: (208) 939-1131
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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 PT-6769 (ID) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence PT-6769 (ID) |
Record details
| NPI number | 1639793953 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPTLICENSEPT-6769 |
| Sole proprietor | No |
| NPI enumerated | June 2, 2020 |
| Last updated in NPPES | February 27, 2026 |
| Certification date | February 27, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Mountain Land Rehabilitation Llc — 203 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Eagle
-
Kathleen Johnson Wesolowski, PT
450 W State St Ste 270, Eagle, ID 83616-6974 · (208) 462-0808