Individual provider Active NPI

Matana Queen Williams, OTR/L

  • Occupational Therapist
  • Clarkston, GA
National Provider Identifier
1285345371
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008692 Issued in GA
Practice address
790 N Indian Creek Dr
Clarkston, GA 30021-2302
Phone
(404) 955-8564
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008692 GA Primary

Addresses

Primary practice location

790 N Indian Creek Dr
Clarkston, GA 30021-2302

Mailing address

406 Harmony Grove Rd
Lilburn, GA 30047-6512
Phone (404) 643-7169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221002329 GA Practitioner - Occupational Therapist in Private Practice 6204206956 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians
Dove Rehab LLCGroup PAC ID 5395983290, 2 clinicians
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

100 Somerby Dr
Alpharetta, GA 30009-8780
Phone (770) 585-1151

3039 Sandy Plains Rd
Marietta, GA 30066-4721
Phone (678) 249-7120

460 Medlock Rd
Decatur, GA 30030-1508
Phone (404) 370-0460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Dec 11, 2025 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients
The Weston Group Inc. CurrentSince Oct 6, 2025 Accepting new patients
The Weston Group Inc. Occupational Therapist CurrentSince Oct 6, 2025 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Occupational Therapist CurrentSince Dec 12, 2022 Accepting new patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Dec 11, 2025 Accepting new patients
Transperfect Health Corp Occupational Therapist CurrentSince Dec 13, 2024 Accepting new patients
Dove Rehab, LLC CurrentSince Nov 8, 2023 Accepting new patients
Teamup Therapy LLC Occupational Therapist Past Accepting new patients

Locations

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

1170 Peachtree St NE
Ste 1600
Atlanta, GA 30309
Phone (570) 854-1632

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

1504 Renaissance Dr NE
Conyers, GA 30012
Phone (404) 421-2570

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

460 Medlock Rd
Decatur, GA 30030
Phone (404) 370-0460

1155 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 526-9340

113 S Perry St
Ste 206
Lawrenceville, GA 30046
Phone (646) 780-0926

9 Sherwood Ln SE
Marietta, GA 30067
Phone (404) 642-5497

4455 Lower Roswell Rd
Unit 683641
Marietta, GA 30068

3039 Sandy Plains Rd
Marietta, GA 30066
Phone (678) 249-7120

100 Lake Crossing Dr
Warner Robins, GA 31088
Phone (478) 287-4344

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

1250 Broadway
Fl 32
New York, NY 10001
Phone (212) 290-6447

5800 Granite Pkwy
Ste 325
Plano, TX 75024

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1285345371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 HARMONY GROVE RD",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476512",
            "telephone_number": "404-643-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N INDIAN CREEK DR",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300212302",
            "telephone_number": "404-955-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MATANA",
        "middle_name": "QUEEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.