Connor Williams, PT, DPT, CSCS
NPI 1730740465ActiveIndividual· Physical Therapist· Coeur D Alene, ID
Physical Therapist (PT, DPT, CSCS) in Coeur D Alene, Idaho, trained at Pacific Nw Un of Hs, Col of Osteopathic Medicine (class of 2018). Medicare paid $22,001 for services to 25 patients in 2024.
Overview
| NPI | 1730740465 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, CSCS |
| Sole proprietor | No |
| NPI issued | Jun 24, 2019 |
| Last updated in NPPES | Jul 14, 2021 |
| Certified by provider | Jul 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6175 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (ID); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 1,099 across 8 procedure codes |
| Paid by Medicare | $22,001 |
Education and affiliations
| Medical school | Pacific Nw Un of Hs, Col of Osteopathic Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Shellman Inc PAHayden, ID · 41 clinicians
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