Tierney Desiree Williams, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

120934 Issued in TX

Practice address

3006 McNiel Ave
Wichita Falls, TX 76309-4954

Phone

(940) 691-7511

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By 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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Pathways of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1922218122

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1053033597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SWENSON ST",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763542236",
            "telephone_number": "901-859-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 MCNIEL AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094954",
            "telephone_number": "940-691-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIERNEY",
        "middle_name": "DESIREE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Lee Williams, FNP-C
• Lavon Williams, NP
• Lisa Marie Williams, LPC ASSOCIATE
• Nakoacha K Williams, M.A.ED
• Russell Williams, M.D.
• Anne-Marie Henvey Williamson, PMHNP-BC, FNP-BC
• Keith H Williamson, MD
• Beverly Dea Wills, FNP
• Audrey Wilson-McGrath
• Andrea Lynn Wilson, LVN

• Occupational Therapist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.