Active NPI
Julie Williams, OTRL
- Pediatric Occupational Therapist
- Bentonville, AR
National Provider Identifier
1275718017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR2145
- Practice address
- 500 Tiger Blvd
Special Services Center
Bentonville, AR 72712-4208 - Phone
- (479) 970-1227
- NPI assigned
- Dec 28, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR2145 | AR | Primary |
Addresses
Primary practice location
500 Tiger Blvd
Special Services Center
Bentonville, AR 72712-4208
Mailing address
1395 N Heritage Ave
Fayetteville, AR 72704-5575
Phone (479) 970-1227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTR2145 | Other | AR | AR MEDICAL BOARD LICENSE |
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 |
|---|---|---|---|
| OTR2145 | AR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1275718017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 N HERITAGE AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045575",
"telephone_number": "479-970-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 TIGER BLVD",
"address_2": "SPECIAL SERVICES CENTER",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124208",
"telephone_number": "479-970-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JULIE",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR2145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR MEDICAL BOARD LICENSE",
"identifier": "OTR2145",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.