Patrick Mario Williams, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60335871 Issued in WA

Practice address

301 Old Highway 99 North
Tenino, WA 98589

Phone

(360) 264-3700

NPI assigned

Jul 31, 2013

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2013.

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1902238017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E F ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984042134",
            "telephone_number": "253-307-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OLD HIGHWAY 99 NORTH",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "98589",
            "telephone_number": "360-264-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PATRICK",
        "middle_name": "MARIO",
        "name_prefix": "Mr.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60335871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Titus
• Anita E Uy
• Jessica Lyn Valenti, ARNP
• Peggy Ann Vittoria, LMP
• Adam Joseph Weber, RN
• Winans PLLC
• Suzanne Kluh Winans, DDS

• All providers in Tenino, WA
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.