Laura Lee Williams, MA OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

101383 Issued in MN

Practice address

1705 Cope Ave E
Suite G
Maplewood, MN 55109-2639

Phone

(651) 773-0354

Fax

(651) 773-0371

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023151339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 STAPLES PL",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824536",
            "telephone_number": "651-275-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COPE AVE E",
            "address_2": "SUITE G",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092639",
            "telephone_number": "651-773-0354",
            "fax_number": "651-773-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "MA OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "101383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Joy Whitcomb, OTRL
• Sandra M Wick, PH.D., L.P.
• Ingrid Elizabeth Wilbrand-Conley, MD
• Amila Dilusha William, MD
• Alyssa Rae Williams, LPN
• Meghan Williams, PHD, LMFT
• Jennifer Kay Wilson, LICSW
• Thomas Grove Wilson, CNP
• Peter B Wilton, MD
• Damian Alexander Winkelmann, DDS

• Pediatric Occupational Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.