Craig Lee Williamson, MS OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1060 Issued in ME

Practice address

114 Maine St Ste 8
Brunswick, ME 04011-2029

Phone

(207) 415-9514

Fax

(207) 721-8664

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Derek Libby DO

  • Medical Specialty Clinic/Center
  • Portland, ME
  • NPI 1619234317
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1619925351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MAINE ST STE 8",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112029",
            "telephone_number": "207-415-9514",
            "fax_number": "207-207-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MAINE ST STE 8",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112029",
            "telephone_number": "207-415-9514",
            "fax_number": "207-721-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "CRAIG",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MS  OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5652638",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6404211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2071305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MN22431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR ACS",
            "identifier": "123152500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "025800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Wiggett, MA, LCPC
• Jared T Wilkinson, DPM
• William Wilkoff, MD
• William L. Rolfe, LCSW, LLC
• Renee D. Williams, LCSW
• Alexandra Logan Wilson, M.D.
• Jane Gallaudet Wilson, NP-C
• Kimberly Brann Wilson, LCSW
• Santana M Wilson, LATC
• William R Wink, CRNA

• Occupational Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.