Marc Anthony Williams, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12878 Issued in FL

Practice address

615 Fairway Dr
Apt. 308
Saint Augustine, FL 32084-3816

Phone

(941) 769-0396

NPI assigned

Oct 17, 2007

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Male

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 TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Rehabilitation Services TX LLC

  • Physical Therapist
  • Allen, TX
  • NPI 1710582580

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1720277510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 US N HWY 183, APT 1127",
            "address_2": "APT. 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750",
            "telephone_number": "832-714-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FAIRWAY DR",
            "address_2": "APT. 308",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320843816",
            "telephone_number": "941-769-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "12878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Oktavec MD PA
• Brittney Williams
• David W. Williams, PA
• Erika D Williams, MPT
• Kasey Drake Williams, MA
• Michelle Elizabeth Williams, O.T.
• Quantravius Earl Williams
• Riley Williams, PT
• Santana Williams, BEHAVIOR TECHNICIAN
• Stanley Allen Williams, LMFT

• Occupational Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.

Verify at the official NPI Registry.