Colleen Willson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-008599 Issued in AZ

Practice address

3160 N Arizona Ave Ste 106
Chandler, AZ 85225-7122

Phone

(480) 699-4845

NPI assigned

Oct 5, 2021

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.

• Advanced Neurologic Rehabilitation

  • Rehabilitation Clinic/Center
  • Gilbert, AZ
  • NPI 1518688746
  NPD
• Advanced Neurologic Rehabilitation

  • Physical Therapy Clinic/Center
  • Chandler, AZ
  • NPI 1922482017
  NPD

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1265194492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 N 78TH ST APT G208",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513757",
            "telephone_number": "517-662-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 N ARIZONA AVE STE 106",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257122",
            "telephone_number": "480-699-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "COLLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Marie Williams
• Stacy Williams, MT-BC
• Sydney Williams, LCSW
• Richard Williamson Jr., MD
• Anthony Willm
• Ann L. Wilson, LAC
• Brooke Wilson, AGACNP
• C. Chylene Wilson
• Elayne Wilson
• Evelyn Wilson, FP

• Occupational Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.