Active NPI
Chanele Williams
- Occupational Therapist
- Beltsville, MD
National Provider Identifier
1376064899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08202
- Practice address
- 10610 Rhode Island Ave Ste 204
Beltsville, MD 20705-2500 - Phone
- (301) 358-1128
- NPI assigned
- Jul 6, 2017
- 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 | 08202 | MD | Primary |
Addresses
Primary practice location
10610 Rhode Island Ave Ste 204
Beltsville, MD 20705-2500
Mailing address
729 Narrowleaf Dr
Upper Marlboro, MD 20774-2372
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 |
|---|---|---|---|
| 08202 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Therapy Connection, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Beltsville, MD
- NPI 1861906364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1376064899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 NARROWLEAF DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10610 RHODE ISLAND AVE STE 204",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052500",
"telephone_number": "301-358-1128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHANELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.