Michelle Elizabeth Williams, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT20773 Issued in FL

Practice address

150 Southpark Blvd Ste 202
Saint Augustine, FL 32086-5179

Phone

(904) 217-3103

Fax

(904) 467-3422

NPI assigned

Feb 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ride the Wave Therapy Services

  • Multi-Specialty Clinic/Center
  • Saint Augustine, FL
  • NPI 1467068023
  NPD
• Pacific Therapeutic Services Inc

  • Rehabilitation Practitioner
  • Laguna Hills, CA
  • NPI 1962497214

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1992973143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MARIPOSA VISTA LN APT 207",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320840682",
            "telephone_number": "215-805-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTHPARK BLVD STE 202",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865179",
            "telephone_number": "904-217-3103",
            "fax_number": "904-467-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20773",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 4671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107822500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Williams
• David W. Williams, PA
• Erika D Williams, MPT
• Kasey Drake Williams, MA
• Marc Anthony Williams, OTD, OTR/L
• Quantravius Earl Williams
• Riley Williams, PT
• Santana Williams, BEHAVIOR TECHNICIAN
• Stanley Allen Williams, LMFT
• Trinity Williams, PHARM.D

• Occupational Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.