Olivia Juana Williams, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047316 Issued in NY

Practice address

200 Bethel Loop Apt 5G
Brooklyn, NY 11239-1716

Phone

(917) 474-4432

NPI assigned

Jun 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visiting Rehab PT OT SLP PLLCGroup PAC ID 2961817564, 10 clinicians

Homeside Rehab PT OT SLP LLCGroup PAC ID 7810045309, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Homeside Rehab, PT, OT, SLP LLC

  • Physical Therapy Clinic/Center
  • Monsey, NY
  • NPI 1023258431

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Visiting Rehab PT OT SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1134747884
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1417526211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BETHEL LOOP APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391716",
            "telephone_number": "917-474-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BETHEL LOOP APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391716",
            "telephone_number": "917-474-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "OLIVIA",
        "middle_name": "JUANA",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namibia Williams, MS, R-DMT, LCAT
• Nicola Williams
• Nicole S Williams
• Nyasha Williams, REGISTERED NURSE
• Odesha Williams
• Oluwaseun Sylvester Williams, MD
• Oluwasina George Williams, MD
• Omari Williams
• Orette Williams, RN
• Paris Lynn Williams, LMHC

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.