NPIMap

Organization Active NPI

Williams Pediatric Therapy, PLLC

Doing business as Little Light Pediatric Therapy

  • Pediatric Occupational Therapist
  • Longview, TX
National Provider Identifier
1629536479
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
WILLIAMS PEDIATRIC THERAPY, PLLC
Doing business as
Little Light Pediatric Therapy
Practice address
110 E Tyler St
Longview, TX 75601-7224
Phone
(903) 600-6797
Fax
(903) 600-6801
NPI assigned
Mar 11, 2019
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Jennifer Williams, OTRNPI 1679824221
Title
Occupational Therapist/Owner
Phone
(903) 932-7370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X

Addresses

Primary practice location

110 E Tyler St
Longview, TX 75601-7224

Mailing address

110 E Tyler St
Longview, TX 75601-7224
Phone (903) 600-6797

Other names 1

  • Little Light Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1629536479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E TYLER ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017224",
            "telephone_number": "903-600-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E TYLER ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017224",
            "telephone_number": "903-600-6797",
            "fax_number": "903-600-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "903-932-7370",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Light Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.