Individual provider Active NPI

Kierra Williams, OT

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1609354422
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
10609 W Ih 10 Ste 105
San Antonio, TX 78230-1673
Phone
(210) 344-5437
Fax
(210) 340-1259
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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 Primary

Addresses

Primary practice location

10609 W Ih 10 Ste 105
San Antonio, TX 78230-1673

Mailing address

10609 W Ih 10 Ste 105
San Antonio, TX 78230-1673
Phone (210) 344-5437

Other identifiers 1

IdentifierTypeStateIssuer
173913801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626003641 TX Practitioner - Occupational Therapist in Private Practice 8729446570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospera Rehabilitation LLCGroup PAC ID 2860839099, 7 clinicians

Practice addresses (Care Compare)

16700 Ella Blvd
Houston, TX 77090-4214
Phone (832) 920-2025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Rehab Services PLLC Occupational Therapist CurrentSince Sep 5, 2023 Accepting new patients
Prospera Rehabilitation LLC Occupational Therapist CurrentSince Sep 27, 2024 Accepting new patients

Locations

16700 Ella Blvd
Houston, TX 77090
Phone (281) 215-5985

22720 Morton Ranch Rd
Ste 160
Katy, TX 77449
Phone (409) 292-7685

2021 FM 1092 Rd
Missouri City, TX 77459
Phone (281) 565-4144

Organizations & group practices 2

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1609354422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 W IH 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301673",
            "telephone_number": "210-344-5437",
            "fax_number": "210-340-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 W IH 10 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301673",
            "telephone_number": "210-344-5437",
            "fax_number": "210-340-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIERRA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173913801",
            "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 Aug 2, 2018; 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.