Provider Demographics
| NPI: | 1326028069 |
|---|---|
| Name: | RICE, WILLIAM LAWRENCE III (PT) |
| Entity type: | Individual |
| Prefix: | MR |
| First Name: | WILLIAM |
| Middle Name: | LAWRENCE |
| Last Name: | RICE |
| Suffix: | III |
| Gender: | M |
| Credentials: | PT |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 700 CHILDRENS DR STE C |
| Mailing Address - Street 2: | |
| Mailing Address - City: | COLUMBUS |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 43205-2639 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 614-722-2000 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 150 W MAIN ST |
| Practice Address - Street 2: | |
| Practice Address - City: | NEW ALBANY |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 43054-9229 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 614-685-9425 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-01-19 |
| Last Update Date: | 2025-04-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OH | PT10771 | 2251P0200X, 225100000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| OH | 0144742 | Medicaid |