Active NPI
Kiticia Jules Williams, OTR/L
- Occupational Therapist
- Rockville, MD
National Provider Identifier
1861699266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09845
- Practice address
- 15 W Gude Dr Ste 400
Rockville, MD 20850-1168 - Phone
- (240) 740-2845
- Fax
- (305) 228-6251
- NPI assigned
- Jun 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT12420 | FL | |
| Occupational Therapist | 225X00000X | 09845 | MD | Primary |
Addresses
Primary practice location
15 W Gude Dr Ste 400
Rockville, MD 20850-1168
Mailing address
1181 Patuxent Greens Dr
Laurel, MD 20708-3404
Phone (305) 761-3184
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT12420 | FL | MD | Occupational Therapist |
| 09845 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & V Thera Pro Associates Corp | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1861699266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1181 PATUXENT GREENS DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083404",
"telephone_number": "305-761-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W GUDE DR STE 400",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501168",
"telephone_number": "240-740-2845",
"fax_number": "305-228-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KITICIA",
"middle_name": "JULES",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12420",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "09845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.