Ventrice Simone Williams, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.4902 Issued in SC

Practice address

7601 Parklane Rd
Columbia, SC 29223-6122

Phone

(803) 741-9090

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

Yes

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

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.

• NHC Healthcare-Parklane LLC

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1376580936
  NPD (past)
• Accelecare Wound Professionals of South Carolina, PC

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1225387335
  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1326518697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CLEMSON FRONTAGE RD APT 811",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298238",
            "telephone_number": "803-971-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 PARKLANE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236122",
            "telephone_number": "803-741-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VENTRICE",
        "middle_name": "SIMONE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "OTA.4902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tallent Marchelle Williams, LMT
• Tamara D Williams, LPN
• Tamia Williams, RBT
• Taylor Williams, CNA
• Terry Carlisle Williams, FNP
• Veronica Williams
• Victoria Rose Williams
• Wanite Williams
• Whitney C Williams
• Willie E Williams, PHD., MA

• Occupational Therapy Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.