Individual provider Active NPI

George Roger Williams, OTRL

  • Occupational Therapist
  • Yukon, OK
National Provider Identifier
1740390277
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3 Issued in OK
Practice address
1805 Commons Cir Ste 100B
Yukon, OK 73099-9519
Phone
(405) 467-4086
Fax
(405) 467-4387
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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 3 OK Primary

Addresses

Primary practice location

1805 Commons Cir Ste 100B
Yukon, OK 73099-9519

Mailing address

1805 Commons Cir Ste 100B
Yukon, OK 73099-9519
Phone (405) 467-4086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000131 OK Practitioner - Occupational Therapist in Private Practice 1850357880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Manual Therapy Solutions LLCGroup PAC ID 4385168798, 2 clinicians

Practice addresses (Care Compare)

1805 Commons Cir
Suite 100B
Yukon, OK 73099-9519
Phone (405) 467-4086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Manual Therapy Solutions LLC CurrentSince Sep 1, 2025 Accepting new patients
Midwest City Therapy Inc PastSince Jul 3, 2002 Accepting new patients

Locations

1805 Commons Cir
Ste 100B
Yukon, OK 73099
Phone (405) 265-1628

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1740390277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 COMMONS CIR STE 100B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999519",
            "telephone_number": "405-467-4086",
            "fax_number": "405-467-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 COMMONS CIR STE 100B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999519",
            "telephone_number": "405-467-4086",
            "fax_number": "405-467-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GEORGE",
        "middle_name": "ROGER",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.