Active NPI
Valina Williams, OTR/L
- Occupational Therapist
- East Elmhurst, NY
National Provider Identifier
1396003190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 010771-1
- Practice address
- 9801 25TH Ave
East Elmhurst, NY 11369-1639 - Phone
- (718) 446-4700
- Fax
- (718) 397-7645
- NPI assigned
- Apr 30, 2012
- Last updated
- Apr 30, 2012
- Sex
- Female
- 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 | 010771-1 | NY | Primary |
Addresses
Primary practice location
9801 25TH Ave
East Elmhurst, NY 11369-1639
Mailing address
13170 230TH St
Laurelton, NY 11413-1830
Phone (718) 977-1280
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 |
|---|---|---|---|
| 010771-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1396003190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13170 230TH ST",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114131830",
"telephone_number": "718-977-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 25TH AVE",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691639",
"telephone_number": "718-446-4700",
"fax_number": "718-397-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "VALINA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "010771-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.