Individual provider Active NPI

Allan David Williams Jr., OTR

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1720795750
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118061 Issued in TX
Practice address
5555N L Amar Blvd #130
Austin, TX 78751
Phone
(512) 869-7310
Fax
(512) 688-5585
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 118061 TX Primary

Addresses

Primary practice location

5555N L Amar Blvd #130
Austin, TX 78751

Mailing address

5555 N Lamar Blvd # 130
Austin, TX 78751-1073
Phone (512) 869-7310

Other practice location 1

301 Seton Pkwy Ste 301
Round Rock, TX 78665-8003
Phone (512) 345-5925

Other practice location 2

1601 Trinity St # 708
Austin, TX 78712-1765
Phone (512) 324-8240

Other practice location 3

3724 Executive Center Dr Ste G10
Austin, TX 78731-1665
Phone (512) 324-9270

Other practice location 4

201 University Oaks Ste 1260
Round Rock, TX 78665-2437
Phone (512) 324-4780

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118061TXMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: allan.williams.1@8363.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1720795750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD # 130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511073",
            "telephone_number": "512-869-7310",
            "fax_number": "512-688-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555N L AMAR BLVD #130",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78751",
            "telephone_number": "512-869-7310",
            "fax_number": "512-688-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Seton Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786658003",
            "country_code": "US",
            "telephone_number": "512-345-5925",
            "fax_number": "512-338-3066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Trinity St # 708",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787121765",
            "country_code": "US",
            "telephone_number": "512-324-8240",
            "fax_number": "512-324-7984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3724 Executive Center Dr Ste G10",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787311665",
            "country_code": "US",
            "telephone_number": "512-324-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 University Oaks Ste 1260",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786652437",
            "country_code": "US",
            "telephone_number": "512-324-4780",
            "fax_number": "512-324-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALLAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.