Active NPI
Terri Williams, OTR/L
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1790758597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10282
- Practice address
- 484 Riverside Ave
Jacksonville, FL 32202-4912 - Phone
- (904) 579-2824
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OT10282 | FL | Primary |
Addresses
Primary practice location
484 Riverside Ave
Jacksonville, FL 32202-4912
Mailing address
PO Box 932184
Atlanta, GA 31193-5912
Phone (856) 678-3484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688354196 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2110 Fleischmann Rd
Tallahassee, FL 32308-0562
Phone (850) 741-6715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT10282 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Rehabilitation Services of Florida LLC | Current | Accepting new patients | |
| H2 Rehabilitation Services of Florida LLC | Current | Accepting new patients | |
| Action Therapy Group LLC | Current | Accepting new patients |
Locations
831 Santa Barbara Blvd
Ste 227
Cape Coral, FL 33991
484 Riverside Ave
Jacksonville, FL 32202
Phone (904) 579-2824
3964 Florida Ave
Jay, FL 32565
Phone (850) 675-4000
Organizations & group practices 3
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.
-
- Physical Therapist
- Jay, FL
- NPI 1548861602
-
- Rehabilitation Clinic/Center
- Lakewood Ranch, FL
- NPI 1275285926
-
- Rehabilitation Clinic/Center
- West Melbourne, FL
- NPI 1366269144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1790758597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311935912",
"telephone_number": "856-678-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024912",
"telephone_number": "904-579-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TERRI",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT10282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "688354196",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.