Carmen Yvonne Williams, PT
NPI 1417129909ActiveIndividual· Physical Therapist· Mount Juliet, TN
Physical Therapist (PT) with Impact Physical Therapy, LLC, practicing in Mount Juliet, Tennessee. Medicare paid $17,392 for services to 25 patients in 2024.
Overview
| NPI | 1417129909 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Mar 25, 2008 |
| Last updated in NPPES | Feb 22, 2024 |
| Certified by provider | Feb 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT0000005645 | TN |
| Physical Therapist | 225100000X | 5645 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 878 across 7 procedure codes |
| Paid by Medicare | $17,392 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Impact Physical Therapy, LLCLebanon, TN · 3 clinicians
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All 37 physical therapists in Mount Juliet · All physical therapists in Tennessee