RYLEY SCOTT WILLIAMS PA-C ATC NPI 1922482009

NPI Information

  • NPI: 1922482009
  • Provider Name: RYLEY SCOTT WILLIAMS, PA-C, ATC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 255 N LAKEMONT AVE STE 207
    WINTER PARK, FL
    ZIP 32792
  • Phone: (844) 407-4070

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NPI Details

Ryley Scott Williams, PA-C, ATC is a medical physician assistant in Winter Park, FL with 10 years of experience. Ryley Scott Williams, PA-C, ATC NPI is 1922482009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

255 N LAKEMONT AVE STE 207
WINTER PARK, FL
ZIP 32792-219
Phone: (844) 407-4070
Fax: (407) 743-3050

The NPI 1922482009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 4/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerAL2688FLORIDANo
2363A00000XPhysician AssistantPAT9108971FLORIDANo
3363AM0700XPhysician AssistantMedicalPA9108971FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA9108971OTHERFLORIDAMEDICAL LICENSE
2015658500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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