Active NPI
Kaitlyn Williams
- Occupational Therapist
- Shreveport, LA
National Provider Identifier
1184307258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 338193
- Practice address
- 2522 E 70TH St
Shreveport, LA 71105-4002 - Phone
- (318) 795-3388
- Fax
- (318) 795-3399
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 338193 | LA | Primary |
Addresses
Primary practice location
2522 E 70TH St
Shreveport, LA 71105-4002
Mailing address
520 Sand Valley LN
Shreveport, LA 71107-1800
Phone (318) 465-6702
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 |
|---|---|---|---|
| 338193 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wardell Interests, Inc | Past | Accepting new patients | |
| Pediatric Therapy Partners LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Benton, LA
- NPI 1477078673
-
- Speech-Language Pathologist
- Shreveport, LA
- NPI 1134266083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1184307258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SAND VALLEY LN",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711071800",
"telephone_number": "318-465-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 E 70TH ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054002",
"telephone_number": "318-795-3388",
"fax_number": "318-795-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KAITLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "338193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.