Tamara Michelle Wills, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

022385 Issued in NY

Practice address

4241 201St St
Bayside, NY 11361-2550

Phone

(718) 423-2000

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

No

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Caring SLP, Psychology, OT & Nutrition Services, PLLC

  • Contractor
  • Newburgh, NY
  • NPI 1699226217
  Medicare reassignment NPD
• Complete SLP, OT, PT & Psychology Services, PLLC

  • Contractor
  • Bronx, NY
  • NPI 1437616026
  Medicare reassignment NPD
• Essential OT, PT, SLP & Psychology Services, PLLC

  • Contractor
  • Baldwin, NY
  • NPI 1093226805
  Medicare reassignment NPD
• Essential Therapy Services of NJ

  • Occupational Therapist
  • Rockaway, NJ
  • NPI 1730852070
  NPD (past)

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1720633100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 168TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341729",
            "telephone_number": "646-671-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 201ST ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612550",
            "telephone_number": "718-423-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "TAMARA",
        "middle_name": "MICHELLE",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M. Duke MD
• Shernette Williams Sawyer
• Cyannie Williams
• Shamel Supreme Williams
• Lois Marie Williamson, RN
• Wendy Michelle Wisner, IBCLC
• Dena Witkin, MSDE
• Nicole Janine Wojno, PT
• Stacy Wolf, DDS
• Won Sohn, M.D.,P.C.

• Occupational Therapist in Bayside, NY
• Providers in Bayside, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.