Octavia Williams, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

212413 Issued in TX

Practice address

1901 N Hwy 360 # 320
Grand Prairie, TX 75050-1412

Phone

(972) 239-3633

NPI assigned

Jul 30, 2018

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

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1457839763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 DEANNE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N HWY 360 # 320",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501412",
            "telephone_number": "972-239-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "OCTAVIA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J. Luck
• Kimberlee Williams, RN
• Kimberly Williams
• Megan Janelle Williams, MS, LPC
• Mercy Nkechinyere Williams, FNP
• Sylvia Williams, LPC
• Tamela Matrice Williams, RN
• Harold Willis
• April Dawn Wilson
• Kacey Wilson, PTA

• Occupational Therapy Assistant in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.