Mackenzie Williams

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1824 Commons Cir Ste B
Yukon, OK 73099-9538

Phone

(405) 467-6782

NPI assigned

Apr 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Complete Rehab, LLC

  • Rehabilitation Clinic/Center
  • Yukon, OK
  • NPI 1497178156
  NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1629711080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 FINA RD NW",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730789771",
            "telephone_number": "405-615-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999538",
            "telephone_number": "405-467-6782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Kinston Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "73034",
            "country_code": "US",
            "telephone_number": "580-318-9415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MACKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2023-09-11",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Willard
• Abigail Williams
• Deanna Williams, SLPA
• George Roger Williams, OTRL
• Kimberly Williams
• Tara Shay Williams, COTA/L
• Tionna J Williams
• Melissa Willingham
• Rick L. Willingham, D.D.S.
• Ashley Dianna Wilson

• Occupational Therapy Assistant in Yukon, OK
• Providers in Yukon, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.