Active NPI
Kristy Williams, OTR
- Occupational Therapist
- Oswego, NY
National Provider Identifier
1346720125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023614-1
- Practice address
- 159 W 1St St
Oswego, NY 13126-2045 - Phone
- (315) 342-9575
- NPI assigned
- Aug 21, 2018
- Last updated
- Dec 12, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 119266 | TX | |
| Occupational Therapist | 225X00000X | 023614-1 | NY | Primary |
Addresses
Primary practice location
159 W 1St St
Oswego, NY 13126-2045
Mailing address
404 S James St
Carthage, NY 13619-1519
Other practice location 1
1110 Rice St
Goldthwaite, TX 76844-4403
Phone (325) 648-2247
Other practice location 2
1110 Rice St
Goldthwaite, TX 76844-4403
Phone (325) 648-2247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023614-1 | Other | NY | NY BOARD OF OCCUPATIONAL THERAPY |
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 |
|---|---|---|---|
| 023614-1 | NY | MD | Physical Therapist |
| 119266 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1346720125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 S JAMES ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136191519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W 1ST ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262045",
"telephone_number": "315-342-9575"
}
],
"practiceLocations": [
{
"address_1": "1110 Rice St",
"address_purpose": "LOCATION",
"city": "Goldthwaite",
"state": "TX",
"postal_code": "768444403",
"country_code": "US",
"telephone_number": "325-648-2247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1110 Rice St",
"address_purpose": "LOCATION",
"city": "Goldthwaite",
"state": "TX",
"postal_code": "768444403",
"country_code": "US",
"telephone_number": "325-648-2247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KRISTY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119266",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023614-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY BOARD OF OCCUPATIONAL THERAPY",
"identifier": "023614-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.