Individual provider Active NPI

Victoria Williamson, MS, OTR/L

  • Occupational Therapist
  • Audubon, PA
National Provider Identifier
1407234610
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC009898 Issued in PA
Practice address
10000 Shannondell Dr
Audubon, PA 19403-5615
Phone
(610) 382-6849
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC009898 PA Primary

Addresses

Primary practice location

10000 Shannondell Dr
Audubon, PA 19403-5615

Mailing address

10000 Shannondell Dr
Audubon, PA 19403-5615
Phone (610) 382-6849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625000483 PA Practitioner - Occupational Therapist in Private Practice 7719298348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC009898PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shannondell, Inc. Current Accepting new patients

Locations

10000 Shannondell Dr
Norristown, PA 19403
Phone (610) 728-5236

5000 Shannondell Dr
Norristown, PA 19403
Phone (610) 664-2295

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehab at ShannondellAudubon, PA, CCN 396101 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 1, 2013
Nov 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1407234610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SHANNONDELL DR",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194035615",
            "telephone_number": "610-382-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SHANNONDELL DR",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194035615",
            "telephone_number": "610-382-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "VICTORIA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC009898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, PA

Sources for this page

Verify at the official NPI Registry.