Active NPI
Kenita Theresa Williams, OTR/L
- Occupational Therapist
- Buffalo, NY
National Provider Identifier
1063991545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022730
- Practice address
- 2980 William St
Buffalo, NY 14227-1918 - Phone
- (716) 892-2062
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022730 | NY | Primary |
Addresses
Primary practice location
2980 William St
Buffalo, NY 14227-1918
Mailing address
106 Normal Ave Apt 2
Buffalo, NY 14213-2500
Phone (347) 707-2264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022730 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1063991545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 NORMAL AVE APT 2",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142132500",
"telephone_number": "347-707-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 WILLIAM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142271918",
"telephone_number": "716-892-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KENITA",
"middle_name": "THERESA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "022730",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.