Rodereick Bernard Williams, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.Z11008 Issued in LA

Practice address

36401 Manchac Crossing
Prairieville, LA 70769

Phone

(225) 405-4066

Fax

(225) 677-8468

NPI assigned

Nov 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seaside Health System, LLC

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1639547243
  NPD (past)

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1023310331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36401 MANCHAC CROSSING",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-405-4066",
            "fax_number": "225-677-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36401 MANCHAC CROSSING",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-405-4066",
            "fax_number": "225-677-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RODEREICK",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z11008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OTT.Z11008",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashunda Lynn Williams, LP, BCBA-D
• Kristin Elisha Williams, M.ED. M.S. CF-SLP
• Lauryn Williams
• Michelle D Williams
• Raegan Williams
• Sterling Michael Williams
• Taylor B Williams, HS
• Kaci Wilson, OTR/L
• Melissa Fruge Wilson, PTA
• Karl Winegar, LCSW

• Occupational Therapist in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.