Active NPI
Jim Willingham, OT
- Occupational Therapist
- Haleyville, AL
National Provider Identifier
1346447497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2693
- Practice address
- 2201 11TH Ave
Haleyville, AL 35565-1613 - Phone
- (205) 486-9478
- Fax
- (205) 486-8738
- NPI assigned
- Jul 2, 2007
- 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 | 2693 | AL | Primary |
Addresses
Primary practice location
2201 11TH Ave
Haleyville, AL 35565-1613
Mailing address
170 Lovers LN
Hamilton, AL 35570-4710
Phone (205) 275-3096
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 |
|---|---|---|---|
| 2693 | AL | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346447497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 LOVERS LN",
"city": "HAMILTON",
"state": "AL",
"postal_code": "355704710",
"telephone_number": "205-275-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 11TH AVE",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355651613",
"telephone_number": "205-486-9478",
"fax_number": "205-486-8738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLINGHAM",
"first_name": "JIM",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "2693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haleyville, AL
- Allan Christopher Walls, MD
- Diana W. Warren, DO
- James Hugh Warren, DPT
- Stephanie Leigh White, DC
- Laura B Williams, CRNP
- Winston County Health Dept-Haleyville Adult Immun
- Winston County Health Dept-Haleyville AIDS
- Winston County Health Dept-Haleyville Child
- Winston County Health Dept-Haleyville Epsdt
- Winston County Health Dept-Haleyville Epsdt CM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.