Jakara M Williams

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004270 Issued in GA

Practice address

3000 Northwoods Pkwy
Suite 105
Norcross, GA 30071-4708

Phone

(678) 993-2303

NPI assigned

May 28, 2009

Last updated

May 28, 2009By the provider in NPPES

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

Enrolled in AL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Fox Rehab OT Al LLCGroup PAC ID 6901276484, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fox Rehab OT Al LLC

  • Occupational Therapist
  • Huntsville, AL
  • NPI 1932824968
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1659506046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 OLDUVAI BLVD",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360833065",
            "telephone_number": "334-727-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NORTHWOODS PKWY",
            "address_2": "SUITE 105",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714708",
            "telephone_number": "678-993-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAKARA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "004270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Che Williams
• Chelsea Francoise Williams, PHARM.D.
• Elaine Brianna Williams, MS, LAT, ATC
• Eve E Williams, NP
• Isabelle Reid Williams, MS, BCBA
• Jenna Shanet Nicole Williams, MBS
• Joanna Williams, RN
• John Tyler Williams
• Najiyyah M Williams, CNA
• Tina V Williams, M.D.

• Occupational Therapist in Norcross, GA
• Providers in Norcross, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.