Individual provider Active NPI

Monica Roshawn Williams, COTA

  • Occupational Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1497238828
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
208817 Issued in TX
Practice address
815 E Grayson St
San Antonio, TX 78208-1014
Phone
(210) 226-8181
Fax
(210) 226-9804
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 208817 TX Primary

Addresses

Primary practice location

815 E Grayson St
San Antonio, TX 78208-1014

Mailing address

6451 Wind Cyn
San Antonio, TX 78239-4400
Phone (210) 421-6628

Other practice location 1

616 W Russell Pl
San Antonio, TX 78212-3658
Phone (210) 725-9233

Other identifiers 2

IdentifierTypeStateIssuer
01OtherTXSUBMIT FOR AUTHORIZATIONS
05MedicaidTX

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
208817TXMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1497238828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 WIND CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782394400",
            "telephone_number": "210-421-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E GRAYSON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782081014",
            "telephone_number": "210-226-8181",
            "fax_number": "210-226-9804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 W Russell Pl",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782123658",
            "country_code": "US",
            "telephone_number": "210-725-9233",
            "fax_number": "210-735-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MONICA",
        "middle_name": "ROSHAWN",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMIT FOR AUTHORIZATIONS",
            "identifier": "01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.