Nicole Briana Williams, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-007838 Issued in AZ

Practice address

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879

Phone

(480) 398-4280

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cholla Medical Group, Inc

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1154443422
  NPD (past)
• Desert Valley Pediatric Therapy

  • Specialist
  • Phoenix, AZ
  • NPI 1528209830
  NPD (past)
• Piller Child Development

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1396297099
  NPD (past)
• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1447806864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20425 N 7TH ST APT 3038",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850246018",
            "telephone_number": "480-452-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 20",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106879",
            "telephone_number": "480-398-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "middle_name": "BRIANA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Allen Williams, PMHNP-BC
• Michael James Williams, DPT
• Michelle Williams, RBT
• Nathan Williams
• Nicole Williams
• Noel A Williams, D.D.S.,M.S
• Richelle Williams, PH.D
• Rochelle Williams, REGISTERED NURSE
• Sabreina Williams
• Sally Lynn Williams, PTA

• Occupational Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.