Taylor N. Williams, DPT LICENSE: PT-6769
NPI 1639793953ActiveIndividual· Physical Therapist· Eagle, ID
Physical Therapist (DPT LICENSE: PT-6769) with Mountain Land Rehabilitation LLC, practicing in Eagle, Idaho. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1639793953 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT LICENSE: PT-6769 |
| Sole proprietor | No |
| NPI issued | Jun 2, 2020 |
| Last updated in NPPES | Feb 27, 2026 |
| Certified by provider | Feb 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-6769 | ID |
| Physical Therapist, Orthopedic | 2251X0800X | PT-6769 | ID |
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 (ID) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mountain Land Rehabilitation LLCTaylorsville, UT · 210 clinicians
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All 69 physical therapists in Eagle · All physical therapists in Idaho