Active NPI
Kristina Elaine Williams, OT
- Occupational Therapist
- Peachtree City, GA
National Provider Identifier
1134553134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003590
- Practice address
- 1967 Highway 54 W
Peachtree City, GA 30269-4797 - Phone
- (770) 631-2338
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- No
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003590 | GA | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003590 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1967 Highway 54 W
Peachtree City, GA 30269-4797
Mailing address
1967 Highway 54 W
Peachtree City, GA 30269-4797
Phone (770) 631-2338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2016.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1134553134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1967 HIGHWAY 54 W",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694797",
"telephone_number": "770-631-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1967 HIGHWAY 54 W",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694797",
"telephone_number": "770-631-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KRISTINA",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "003590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.