Individual provider Active NPI

Linda Yali Willms

  • Occupational Therapist
  • Clearwater, FL
National Provider Identifier
1558078840
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9978 Issued in FL
Practice address
29257 US 19 N
Clearwater, FL 33761-2102
Phone
(727) 201-2778
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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 9978 FL Primary

Addresses

Primary practice location

29257 US 19 N
Clearwater, FL 33761-2102

Mailing address

5566 Baywater Dr
Tampa, FL 33615-3528
Phone (727) 290-5447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719003798 FL Practitioner - Occupational Therapist in Private Practice 0143680330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bilingual Speech Therapy of Clearwater LLCGroup PAC ID 4486027943, 2 clinicians

Practice addresses (Care Compare)

29257 US Hwy 19 N
Clearwater, FL 33761-2102
Phone (727) 201-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9978FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Speech Therapy of Clearwater LLC CurrentSince Mar 11, 2023 Accepting new patients

Locations

29257 US Highway 19 N
Clearwater, FL 33761
Phone (727) 201-2778

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1558078840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5566 BAYWATER DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153528",
            "telephone_number": "727-290-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29257 US 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612102",
            "telephone_number": "727-201-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMS",
        "first_name": "LINDA",
        "middle_name": "YALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "9978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.