Individual provider Active NPI

Kristie Williams, MOTR/L

  • Occupational Therapist
  • Danville, VA
National Provider Identifier
1649440199
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119004347 Issued in VA
Practice address
341 Main St
Danville, VA 24541-1200
Phone
(434) 799-6400
NPI assigned
Mar 11, 2008
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 994 WV
Occupational Therapist 225X00000X 0119004347 VA Primary

Addresses

Primary practice location

341 Main St
Danville, VA 24541-1200

Mailing address

5119 Salem Tpke NW
Roanoke, VA 24017-4666
Phone (304) 920-5093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106001559 VA Practitioner - Occupational Therapist in Private Practice 0345650172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech and Occupational Therapy SpecialistsGroup PAC ID 4981034477, 5 clinicians

Practice addresses (Care Compare)

159 Executive Dr
Suite a
Danville, VA 24541-4160
Phone 4347997732105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119004347VAMDOccupational Therapist
994WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech & Occupational Therapy Specialists Occupational Therapist CurrentSince Nov 4, 2020 Accepting new patients

Locations

159 Executive Dr
Ste A
Danville, VA 24541
Phone (434) 799-7732

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1649440199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 SALEM TPKE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174666",
            "telephone_number": "304-920-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411200",
            "telephone_number": "434-799-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTIE",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "994",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.