Alicia Rae Williams, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010753-01 Issued in NY

Practice address

130 Montauk Hwy
East Moriches, NY 11940-1153

Phone

(631) 874-0571

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1780255018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MONTAUK HWY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401153",
            "telephone_number": "631-894-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MONTAUK HWY",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401153",
            "telephone_number": "631-874-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALICIA",
        "middle_name": "RAE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010753-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Catherine Vadax, LPN
• Dawn Weaver
• Kelli S Wetzel, COTA/L
• Vera-Ellen Frances White, M.D.
• Emily Wichard
• Deborah Anne Williams, RD,CDN

• Occupational Therapy Assistant in East Moriches, NY
• Providers in East Moriches, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.