Active NPI
Darrell Williams
- Occupational Therapist
- Center, TX
National Provider Identifier
1295123271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111221
- Practice address
- 420 Tenaha St
Center, TX 75935-3432 - Phone
- (936) 598-5633
- Fax
- (936) 598-8513
- NPI assigned
- Dec 29, 2014
- Sex
- Male
- 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 | 111221 | TX | Primary |
Addresses
Primary practice location
420 Tenaha St
Center, TX 75935-3432
Mailing address
4222 FM 417 W
Center, TX 75935-6165
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1295123271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 FM 417 W",
"city": "CENTER",
"state": "TX",
"postal_code": "759356165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 TENAHA ST",
"city": "CENTER",
"state": "TX",
"postal_code": "759353432",
"telephone_number": "936-598-5633",
"fax_number": "936-598-8513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DARRELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-29",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.