Carlisa Ophelia Williams, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

19530 Issued in FL

Practice address

627 8TH St
Clermont, FL 34711-2159

Phone

(352) 243-4422

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• FCHR PA

  • Physical Therapist
  • Clermont, FL
  • NPI 1760427975
  NPD
• Mobility Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • Clermont, FL
  • NPI 1154757342
  NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1225811359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 MEADOW GREEN DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327789481",
            "telephone_number": "352-431-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 8TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112159",
            "telephone_number": "352-243-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARLISA",
        "middle_name": "OPHELIA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "19530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Wichner
• Mary Victoria Wick, DMD-MPH
• Karen Suzanne Wiegandt, MPT
• Timothy Wilhelm
• Adrian Michael Williams, DC
• Hailey Ann Williams
• Keithrick Williams Jr.
• Kimora Williams
• Laurel Annalise Williams
• Rachael Williams

• Occupational Therapy Assistant in Clermont, FL
• Providers in Clermont, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.