Active NPI
Jason Karl Williams, OTR/L
- Occupational Therapist
- Boca Raton, FL
National Provider Identifier
1679353130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT24574
- Practice address
- 301 Camino Gardens Blvd Unit 100
Boca Raton, FL 33432-5823 - Phone
- (561) 494-4499
- NPI assigned
- Oct 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT24574 | FL | Primary |
Addresses
Primary practice location
301 Camino Gardens Blvd Unit 100
Boca Raton, FL 33432-5823
Mailing address
3587 Wiles Rd Apt 103
Coconut Creek, FL 33073-2202
Phone (954) 937-2006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250210003462 | FL | Practitioner - Occupational Therapist in Private Practice | 1355871013 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Rehability at Home, LLC | Occupational Therapist | Current | Accepting new patients |
| First State Rehab at Home, LLC | Occupational Therapist | Past | Accepting new patients |
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.
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- NPI 1407229677
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1679353130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 WILES RD APT 103",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732202",
"telephone_number": "954-937-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CAMINO GARDENS BLVD UNIT 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334325823",
"telephone_number": "561-494-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JASON",
"middle_name": "KARL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT24574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.