Dr Kristopher Williams, PT, DPT - Medicare Physical Therapist in Fayetteville, NC

Dr Kristopher Williams, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fayetteville, North Carolina. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Revolution Incorporated and his current practice location is 1712 Owen Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 483-9300.

Dr Kristopher Williams is licensed to practice in North Carolina (license number P15455) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710370093.

Contact Information

Dr Kristopher Williams, PT, DPT
1712 Owen Dr,
Fayetteville, NC 28304-3419
(910) 483-9300
(910) 483-9302

Map and Direction




Healthcare Provider's Profile

Full NameDr Kristopher Williams
GenderMale
SpecialityPhysical Therapy
Experience10 Years
Location1712 Owen Dr, Fayetteville, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kristopher Williams graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1710370093
  • Provider Enumeration Date: 03/11/2015
  • Last Update Date: 06/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0648583351
  • Enrollment ID: I20150723007473

Medical Identifiers

Medical identifiers for Dr Kristopher Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710370093NPI-NPPES
1710370093OtherNCNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist P15455 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Revolution Incorporated89213618418

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kristopher Williams allows following entities to bill medicare on his behalf.
Provider NameRevolution Incorporated
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1164921862
PECOS PAC ID: 8921361841
Enrollment ID: O20180406000017

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristopher Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kristopher Williams, PT, DPT
121 High Sedge Dr,
Winston Salem, NC 27107-1855

Ph: (601) 927-7894
Dr Kristopher Williams, PT, DPT
1712 Owen Dr,
Fayetteville, NC 28304-3419

Ph: (910) 483-9300

Reviews and Comments


Physical Therapist in Fayetteville, NC

Miss Roxanne King,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303
Phone: 910-488-2295    
Kristi Wilkins,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1289 Oliver St, Fayetteville, NC 28304
Phone: 910-483-8331    Fax: 910-483-8335
Dale Anthony Gallo Jr., DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314
Phone: 910-484-2171    Fax: 910-484-4568
Michael Andrew Slack, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1712 Owen Dr, Fayetteville, NC 28304
Phone: 910-483-9300    Fax: 910-483-9302
Bridget Maley,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311
Phone: 910-868-6000    
Matthew Gregory Prindle, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3401 Village Dr Ste 101, Fayetteville, NC 28304
Phone: 910-483-9300    Fax: 910-483-9302
Casandra Heather Canterbury, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 501 Executive Pl, Fayetteville, NC 28305
Phone: 910-423-5550    Fax: 910-423-5552

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.