Individual provider Active NPI

Brooke Nicole Williams, OTR/L

  • Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1760964688
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1703205 Issued in KS
Practice address
5612 W 92ND Ter
Overland Park, KS 66207-2512
Phone
(816) 678-6467
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 1703205 KS Primary

Addresses

Primary practice location

5612 W 92ND Ter
Overland Park, KS 66207-2512

Mailing address

5612 W 92ND Ter
Overland Park, KS 66207-2512
Phone (816) 678-6467

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
1703205KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Occupational Therapy, LLC Occupational Therapist CurrentSince Jul 16, 2023 Accepting new patients
Seedling Pediatric Therapies of Kansas City Occupational Therapist CurrentSince Aug 27, 2023 Accepting new patients

Locations

8012 State Line Rd
Ste 203
Prairie Village, KS 66208
Phone (913) 526-3923

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1760964688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 W 92ND TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072512",
            "telephone_number": "816-678-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 W 92ND TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072512",
            "telephone_number": "816-678-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1703205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.