Patrick W Willson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14503 Issued in CA

Practice address

10540 Talbert Ave Ste 250W
Fountain Valley, CA 92708-6045

Phone

(714) 964-0727

Fax

(714) 964-1137

NPI assigned

Aug 1, 2014

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.willson.p29@direct.newportmed.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1417619008

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409
  Medicare reassignment NPD
• Select CS Physical Therapy, P.C.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Marina del Rey, CA
  • NPI 1043894090

  Occupational Therapist

  Medicare reassignment NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapy Clinic/Center
  • Downey, CA
  • NPI 1497708879
  NPD
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Morgan Hill, CA
  • NPI 1487317004

  Occupational Therapist

  NPD
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Aliso Viejo, CA
  • NPI 1699437285
  NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Beverly Hills, CA
  • NPI 1275220246
  NPD
• Select CS Physical Therapy, P.C.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Santa Monica, CA
  • NPI 1487238432

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1790193860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 TALBERT AVE STE 250W",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086045",
            "telephone_number": "714-964-0727",
            "fax_number": "714-964-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 TALBERT AVE STE 250W",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086045",
            "telephone_number": "714-964-0727",
            "fax_number": "714-964-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "PATRICK",
        "middle_name": "W",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Williams, RBT
• Gemma Lara de Blas Williams, LCSW
• Madeline Zola Williams
• Megan Courtney Williams, NONE
• Randal Reginald Williams
• Cole Jordan Wilsie, PTA
• Claire Wilson, PH.D.
• Jessica Wilson, RD,CDE
• Julie Winn
• Kevin N Winn

• Occupational Therapist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.