Individual provider Active NPI

Renate Williamson, OTR

  • Occupational Therapist
  • Ridgefield, CT
National Provider Identifier
1679147359
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
835 Issued in CT
Practice address
27 Governor St
Ridgefield, CT 06877-4608
Phone
(203) 438-5555
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 835 CT Primary

Addresses

Primary practice location

27 Governor St
Ridgefield, CT 06877-4608

Mailing address

27 Governor St
Ridgefield, CT 06877-4608
Phone (203) 438-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616000637 CT Practitioner - Occupational Therapist in Private Practice 4082014865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgery Orthopaedics and Spine Specialists PCGroup PAC ID 8820087463, 16 clinicians

Practice addresses (Care Compare)

500 Chase Pkwy
Waterbury, CT 06708-3346
Phone (203) 755-6677

Merit-based Incentive Payment System (MIPS)

Final score
70.29 of 100Reported as group
Quality
56.67
Promoting interoperability
86
Improvement activities
20
Cost
72.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
835CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery, Orthopaedics & Spine Specialists, PC CurrentSince May 1, 2022 Accepting new patients
Neurosurgery Orthopaedics & Spine Specialists PC CurrentSince May 1, 2022 Accepting new patients

Locations

500 Chase Pkwy
Waterbury, CT 06708
Phone (203) 264-7999

500 Chase Pkwy
Fl 1
Waterbury, CT 06708
Phone (203) 754-2266

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1679147359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GOVERNOR ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774608",
            "telephone_number": "203-438-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GOVERNOR ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774608",
            "telephone_number": "203-438-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "RENATE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.