Active NPI
Janine M McWilliams, OTR/L
- Occupational Therapist
- Montgomery, PA
National Provider Identifier
1457380354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009800
- Practice address
- 43 S Main St
Montgomery, PA 17752-1120 - Phone
- (570) 547-0480
- Fax
- (570) 547-0498
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OC009800 | PA | Primary |
Addresses
Primary practice location
43 S Main St
Montgomery, PA 17752-1120
Mailing address
43 S Main St
Montgomery, PA 17752
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267185 | Other | PA | HEALTH AMERICA |
| 1766881 | Other | PA | HIGHMARK BLUE SHIELD |
| 50054302 | Other | PA | KHPC/ SR BLUE |
| 101376156000 | Medicaid | PA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC009800 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457380354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 S MAIN ST",
"city": "MONTGOMERY",
"state": "PA",
"postal_code": "17752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 S MAIN ST",
"city": "MONTGOMERY",
"state": "PA",
"postal_code": "177521120",
"telephone_number": "570-547-0480",
"fax_number": "570-547-0498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "JANINE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "267185",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1766881",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPC/ SR BLUE",
"identifier": "50054302",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101376156000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.