Jennifer L Williams, OTR-L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1215 Issued in ME

Practice address

881 Poplar St
Old Town, ME 04468-5918

Phone

(207) 433-7778

Fax

(866) 220-5031

NPI assigned

Mar 18, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer L Wight Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Apex Interventional Pain Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Bangor, ME
  • NPI 1306639232
  NPD (past)
• Dragonfly Therapy

  • Physical Therapist
  • Bangor, ME
  • NPI 1134192040

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1902047129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225",
            "city": "STILLWATER",
            "state": "ME",
            "postal_code": "044890225",
            "telephone_number": "207-433-7778",
            "fax_number": "866-220-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 POPLAR ST",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044685918",
            "telephone_number": "207-433-7778",
            "fax_number": "866-220-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WIGHT",
            "middle_name": "L",
            "credential": "OTR-L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael D Warmuth, RPH.
• Warren Brown
• Judith A Weatherbee, PT
• Judy Weitzel, MSN, APRN
• Samantha White, PT, DPT
• Mitzi L Wright, PMHCNS, BC
• Kimberly Ann Yartklang, NPC
• Abigail Zier

• Occupational Therapist in Old Town, ME
• Providers in Old Town, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.