SHANE WILLIAMS JR. PT, DPT
NPI 1639950058
Physical Therapist - Orthopedic in Vashon, WA

Active since October 11, 2023
17630 VASHON HWY SW, VASHON, WA 98070(206) 657-7879 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shane Williams Jr. Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE WILLIAMS JR. PT, DPT (NPI 1639950058) is an individual orthopedic provider in Vashon, Washington, licensed in Washington (61477372) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1639950058
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameSHANE WILLIAMS JR.Credential: PT, DPT
Location Address17630 VASHON HWY SWVashon, WA 98070
Mailing Address16217 Crescent Dr SwVashon, WA 98070-3741 · (810) 471-2384
Sole ProprietorYes
Enumeration DateOctober 11, 2023
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 15, 2025
NPI 1639950058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in WA · 61477372
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

17630 VASHON HWY SW, Vashon, WA 98070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639950058, enumerated as an "individual" on October 11, 2023.

The provider is located at 17630 VASHON HWY SW VASHON, WA 98070 and the phone number is (206) 657-7879.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.