Marvin Williams II, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2275 Issued in MS

Practice address

117 Bradfield Rd
Madison, MS 39110-7485

Phone

(601) 707-5826

NPI assigned

Jul 13, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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.

• Eden Rehab LLC

  • Physical Therapy Assistant
  • Brandon, MS
  • NPI 1558664250
  NPD (past)
• Mobility Benefit, LLC

  • Rehabilitation Clinic/Center
  • Florence, MS
  • NPI 1023441078
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1992093710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BRADFIELD RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107485",
            "telephone_number": "662-836-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BRADFIELD RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107485",
            "telephone_number": "601-707-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARVIN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean E Whitley, NP
• Alexander Chapman Whittington, M.D.
• William D Whitton, MD
• William C Ashford M.D.
• Elizabeth Carleton Williams
• Sharron Uleskia Williams, LMSW
• Lauren Egger Williamson, MD
• Leah Dedeaux Williamson, LPC
• Clinton Aaron Wilson, P-LPC, MAMFT
• David Charles Wilson, LPC

• All providers in Madison, MS
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.