Active NPI
Pamela Williams, COTA
- Occupational Therapy Assistant
- Chesterton, IN
National Provider Identifier
1881880276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 32000416A
- Practice address
- 110 Beverly Dr
Chesterton, IN 46304-9368 - Phone
- (219) 926-8387
- Fax
- (847) 441-0734
- NPI assigned
- Sep 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32000416A | IN | Primary |
Addresses
Primary practice location
110 Beverly Dr
Chesterton, IN 46304-9368
Mailing address
646 E 950 N
Westville, IN 46391-9446
Phone (219) 926-8387
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 |
|---|---|---|---|
| 32000416A | IN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1881880276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 E 950 N",
"city": "WESTVILLE",
"state": "IN",
"postal_code": "463919446",
"telephone_number": "219-926-8387",
"fax_number": "847-441-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BEVERLY DR",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463049368",
"telephone_number": "219-926-8387",
"fax_number": "847-441-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PAMELA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "32000416A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.