Individual provider Active NPI

Kaylee Williams, OTR

  • Occupational Therapist
  • Fayetteville, NC
National Provider Identifier
1508462227
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11988 Issued in NC
Practice address
424 McArthur Rd
Fayetteville, NC 28311-6924
Phone
(910) 868-2002
Fax
(910) 868-2004
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11988 NC Primary

Addresses

Primary practice location

424 McArthur Rd
Fayetteville, NC 28311-6924

Mailing address

424 McArthur Rd
Fayetteville, NC 28311-6924
Phone (910) 868-2002

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
11988NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RDL Therapeutic Outpatient Therapy Occupational Therapist CurrentSince Dec 13, 2020 Accepting new patients

Locations

424 McArthur Rd
Fayetteville, NC 28311
Phone (910) 229-2066

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1508462227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MCARTHUR RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116924",
            "telephone_number": "910-868-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MCARTHUR RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283116924",
            "telephone_number": "910-868-2002",
            "fax_number": "910-868-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAYLEE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.