Individual provider Active NPI

John Williams, OTR/L

  • Hand Occupational Therapist
  • West Hills, CA
National Provider Identifier
1669038113
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
21882 Issued in CA
Practice address
22110 Roscoe Blvd Ste 302
West Hills, CA 91304-3864
Phone
(818) 347-7110
NPI assigned
May 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 21882 CA Primary

Addresses

Primary practice location

22110 Roscoe Blvd Ste 302
West Hills, CA 91304-3864

Mailing address

22110 Roscoe Blvd Ste 302
West Hills, CA 91304-3864
Phone (818) 347-7110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210215001710 CA Practitioner - Occupational Therapist in Private Practice 1759796238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand Center of Southern CaliforniaGroup PAC ID 4385718527, 3 clinicians

Practice addresses (Care Compare)

7120 Hayvenhurst Ave
Suite 215
Van Nuys, CA 91406-3813
Phone (818) 785-9515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21882CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Center of Southern California Hand CurrentSince Dec 30, 2020 Accepting new patients
Hand Center of Southern California Hand PastSince Dec 30, 2020 Accepting new patients

Locations

7120 Hayvenhurst Ave
Ste 215
Van Nuys, CA 91406
Phone (818) 785-9515

22110 Roscoe Blvd
Ste 302
West Hills, CA 91304
Phone (818) 347-7110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1669038113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043864",
            "telephone_number": "818-347-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043864",
            "telephone_number": "818-347-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "21882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.