Active NPI
Olivia J, Williams, OTR/L
- Occupational Therapist
- Lithonia, GA
National Provider Identifier
1790229011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT001346
- Practice address
- 2318 Harmony Lakes Cir
Lithonia, GA 30058-1519 - Phone
- (404) 957-4347
- NPI assigned
- Dec 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | OT001346 | GA | Primary |
Addresses
Primary practice location
2318 Harmony Lakes Cir
Lithonia, GA 30058-1519
Mailing address
2318 Harmony Lakes Cir
Lithonia, GA 30058-1519
Phone (404) 957-4347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250423003894 | GA | Order and Referring Only - Other (Physician) | 5395261226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1790229011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 HARMONY LAKES CIR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300581519",
"telephone_number": "404-957-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 HARMONY LAKES CIR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300581519",
"telephone_number": "404-957-4347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "OLIVIA",
"middle_name": "J,",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT001346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.