Active NPI
Wanda Williams, OT
- Occupational Therapist
- Lakeland, FL
National Provider Identifier
1306607296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT25147
- Practice address
- 1430 Lakeland Hills Blvd
Lakeland, FL 33805-3202 - Phone
- (863) 680-7700
- Fax
- (866) 264-8519
- NPI assigned
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- No
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 | OT25147 | FL | Primary |
Addresses
Primary practice location
1430 Lakeland Hills Blvd
Lakeland, FL 33805-3202
Mailing address
1163 Lake Place CT
Lakeland, FL 33805-4760
Phone (917) 328-7353
Other practice location 1
100 Avenue I NE
Winter Haven, FL 33881-4143
Phone (863) 680-7428
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT25147 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1306607296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1163 LAKE PLACE CT",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054760",
"telephone_number": "917-328-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053202",
"telephone_number": "863-680-7700",
"fax_number": "866-264-8519"
}
],
"practiceLocations": [
{
"address_1": "100 Avenue I NE",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338814143",
"country_code": "US",
"telephone_number": "863-680-7428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WANDA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT25147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.