Kalle Stanly Williams, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC61167137 Issued in WA

Practice address

4610 6TH Street PL SE
Puyallup, WA 98374-5791

Phone

(253) 841-9722

NPI assigned

Jun 23, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1447829320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 TERRACE VIEW LN SE APT F305",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980925507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 6TH STREET PL SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983745791",
            "telephone_number": "253-841-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KALLE",
        "middle_name": "STANLY",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC61167137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William a Bulley MDPS
• William L. Whiteman (None)
• Deborah Ann Williams, M.S.
• Ira Noveletta Williams
• Jeffery Robert Williams, R.PH.
• Karin Jeona Williams, ARNP
• Kasey Williams
• Kristin Williams, ARNP
• Lorissa Yvonne Williams, CBT
• Nathan Alexander Williams

• Occupational Therapy Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.