Individual provider Active NPI

Shelley-Anne Williams, MSOT, OTR/L

  • Occupational Therapist
  • Lauderhill, FL
National Provider Identifier
1710769815
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT24334 Issued in FL
Practice address
7278 NW 47TH PL
Lauderhill, FL 33319-3412
Phone
(954) 609-5564
NPI assigned
Oct 16, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 OT24334 FL Primary

Addresses

Primary practice location

7278 NW 47TH PL
Lauderhill, FL 33319-3412

Mailing address

PO Box 452825
Ft Lauderdale, FL 33345-2825
Phone (954) 609-5564

Other identifiers 1

IdentifierTypeStateIssuer
OT24334OtherFLOCCUPATIONAL THERAPY LICENSE

Other names 1

  • Shelley Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT24334FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Vessel Inc Occupational Therapist CurrentSince Jul 13, 2025 Accepting new patients
Complete Therapy USA Inc. Occupational Therapist CurrentSince Oct 17, 2023 Accepting new patients

Locations

2627 NE 203rd St
Ste 110
Miami, FL 33180
Phone (305) 466-1388

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, 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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1710769815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452825",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333452825",
            "telephone_number": "954-609-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7278 NW 47TH PL",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333193412",
            "telephone_number": "954-609-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHELLEY-ANNE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "OT24334",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "WILLIAMS",
            "credential": "MSOT, OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.