Individual provider Active NPI

William Lee Strickland, OTR/L

  • Occupational Therapist
  • Martinez, GA
National Provider Identifier
1508623091
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009063 Issued in GA
Practice address
226 Kestwick Dr W
Martinez, GA 30907-1686
Phone
(706) 252-3332
Fax
(706) 251-9884
NPI assigned
Mar 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 OT009063 GA Primary

Addresses

Primary practice location

226 Kestwick Dr W
Martinez, GA 30907-1686

Mailing address

226 Kestwick Dr W
Martinez, GA 30907-1686
Phone (706) 252-9184

Other practice location 1

111 E Marion Ave
North Augusta, SC 29841-2935
Phone (706) 252-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240318001046 GA Practitioner - Occupational Therapist in Private Practice 9133566847 Reassigns benefits to 1 organization
I20240614000900 SC Practitioner - Occupational Therapist in Private Practice 9133566847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Aging Therapist LLCGroup PAC ID 6709285992, 8 clinicians

Practice addresses (Care Compare)

111 E Marion Ave
Suite 128
North Augusta, SC 29841-2935
Phone (706) 252-3332

3712 Executive Ctr Dr
Suite a
Martinez, GA 30907-5098
Phone (706) 252-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7128SCMDPhysical Therapist
OT009063GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Aging Therapist LLC Occupational Therapist CurrentSince Mar 1, 2024 Accepting new patients

Locations

3712 Executive Center Dr
Ste A
Martinez, GA 30907
Phone (706) 252-3332

111 E Marion Ave
North Augusta, SC 29841
Phone (706) 252-3332

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1508623091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 KESTWICK DR W",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071686",
            "telephone_number": "706-252-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 KESTWICK DR W",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071686",
            "telephone_number": "706-252-3332",
            "fax_number": "706-251-9884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Marion Ave",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298412935",
            "country_code": "US",
            "telephone_number": "706-252-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.