Jenny Williams, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

2099 Issued in TN

Practice address

203 N Mount Juliet Rd
Mt Juliet, TN 37122-3305

Phone

(615) 429-6424

NPI assigned

Dec 6, 2024

Last updated

Dec 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Elevate Total Wellness LLC

  dba The Movement Shop

  • Physical Therapist
  • Gallatin, TN
  • NPI 1053041996
  Medicare reassignment
• Alternative Approach LLC

  • Physical Therapist
  • Mount Juliet, TN
  • NPI 1578030698
  NPD

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1073329843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HORN DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871902",
            "telephone_number": "615-336-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MOUNT JULIET RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223305",
            "telephone_number": "615-429-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TN",
            "license": "2099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Emmitt White
• Eeiron Whitley, MS ATC
• Elijah Forrest Wilder, MD
• Stephanie Will
• Carmen Yvonne Williams, PT
• Markia Tichelle Williams
• Melissa Williams, APRN, PMHNP-BC
• Ryan Williams, DPT
• Tess Leighan Williams, FNP
• Tori Williams, PHYSICAL THERAPIST

• Physical Rehabilitation Occupational Therapist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Physical Rehabilitation Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.