Shane Williams

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024051 Issued in NY

Practice address

535 Flushing Ave
Brooklyn, NY 11205-1610

Phone

(718) 488-7272

NPI assigned

Nov 6, 2019

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 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians

Spear Physical and Occupational Therapy, LLCGroup PAC ID 6901832112, 582 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Spear Physical and Occupational Therapy, LLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1063454577

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Road to Recovery Physical Therapy, P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1518264977

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1073157608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051610",
            "telephone_number": "718-488-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "024051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sebastian Williams
• Seneca Williams, LMHC
• Shaiya Tamarra Williams
• Shaka Williams, LMSW
• Shanado G Williams, MD, MSC.
• Shanna C Williams
• Shannel Williams
• Shantee Williams, RN
• Sharay Williams
• Shari Williams

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.