Active NPI
Julie Williford, MOT OTR/L
- Hand Occupational Therapist
- Columbia, MD
National Provider Identifier
1083015051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 07502
- Practice address
- 10450 Shaker Dr
Suite 113
Columbia, MD 21046-1143 - Phone
- (410) 997-0037
- NPI assigned
- Sep 10, 2014
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 07502 | MD | Primary |
Addresses
Primary practice location
10450 Shaker Dr
Suite 113
Columbia, MD 21046-1143
Mailing address
10450 Shaker Dr
Suite 113
Columbia, MD 21046-1143
Phone (410) 997-0037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07502 | Other | MD | OCCUPATIONAL THERAPY LICENSE |
Other names 1
- Julie Lane
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07502 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1083015051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 SHAKER DR",
"address_2": "SUITE 113",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461143",
"telephone_number": "410-997-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 SHAKER DR",
"address_2": "SUITE 113",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461143",
"telephone_number": "410-997-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIFORD",
"first_name": "JULIE",
"credential": "MOT OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MD",
"license": "07502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "07502",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "LANE",
"credential": "MOT OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.