Randall Willis, LOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102642 Issued in TX

Practice address

835 N Expressway
Suite a
Brownsville, TX 78520-6831

Phone

(956) 544-7722

Fax

(956) 544-7728

NPI assigned

Jan 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bright Medical Investments, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
  • NPI 1043222052
  NPD (past)
• Bright Medical Investments, Inc.

  • Speech-Language Pathologist
  • Brownsville, TX
  • NPI 1912282591
  NPD (past)

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1033357264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N EXPRESSWAY",
            "address_2": "SUITE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206831",
            "telephone_number": "956-544-7722",
            "fax_number": "956-544-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N EXPRESSWAY",
            "address_2": "SUITE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206831",
            "telephone_number": "956-544-7722",
            "fax_number": "956-544-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RANDALL",
        "credential": "LOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169033101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "45-4849",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wholeness Clinical Mental Health Services
• Aldon Byron Williams, M.D.
• Carrie Williams
• Melissa Susanne Williamson, APRN
• Willie Teo Ong, MD PA
• Meghan Willson
• WKCG Inc
• Wolf & Crane Investments PLLC
• Deborah Cohen Woloski, LPC, PA-C
• Wrench Anesthesia Service P.C.

• Occupational Therapist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.