Active NPI
Allan David Williams Jr., OTR
- Occupational Therapist
- Austin, TX
National Provider Identifier
1720795750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118061
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 118061 | TX | MD | Occupational Therapist |
Interoperability endpoints
- 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.