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Michelle Elizabeth Williams , OT

Occupational Therapist β€’ Saint Augustine, FL

Active NPI 1992973143 Individual Practitioner Female Practitioner
Practice location in NPPES

150 Southpark Blvd Ste 202
Saint Augustine, FL 320865179

Call 9042173103 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

150 Southpark Blvd Ste 202

Saint Augustine, FL 320865179

Telephone 9042173103
Fax 9044673422
Organization at the Same NPPES Address or Phone
Ride The Wave Therapy Services Facility NPI 1467068023

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Saint Augustine and Florida

26 active clinicians are listed under Occupational Therapist with a practice address in Saint Augustine, FL (7,933 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Augustine

0% of these 26 clinicians have the CMS telehealth indicator.

15.4% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-13
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES FL OT20773

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES CA OT 4671

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
107822500 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location June 13, 2022

Registered at 150 SOUTHPARK BLVD STE 202, SAINT AUGUSTINE, FL 320865179 (Tel: 9042173103)

πŸ“
Updated Business Mailing Address June 13, 2022

Registered at 2005 MARIPOSA VISTA LN APT 207, SAINT AUGUSTINE, FL 320840682 (Tel: 2158051307)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Occupational Therapist (license number reported to NPPES: FL OT20773)

πŸ“
Updated Practice Location August 06, 2020

Registered at 1000 W BROADWAY ST STE 214, OVIEDO, FL 327659262 (Tel: 4073595693)

πŸ“
Updated Business Mailing Address August 06, 2020

Registered at 169 CATRIONA DR, DAYTONA BEACH, FL 321242064 (Tel: 2158051307)

βœ…
NPI Profile Active February 11, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 11, 2008

Registered at 7510 CLAIREMONT MESA BLVD, #103, SAN DIEGO, CA 921111539 (Tel: 8582772277)

πŸ“
Business Mailing Address (Initial Record) February 11, 2008

Registered at 7510 CLAIREMONT MESA BLVD, #103, SAN DIEGO, CA 921111539 (Tel: 8582772277)

πŸ‘€
Provider Name / Credentials (Initial Record) February 11, 2008

Recorded as MICHELLE WILLIAMS, O.T.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2008

Occupational Therapist (license number reported to NPPES: CA OT 4671)

🟒
Initial NPI Registration & Enumeration February 11, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992973143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2008
Last Update: June 13, 2022
Sole Proprietor: Yes

Mailing Address

2005 Mariposa Vista Ln Apt 207

Saint Augustine, FL 320840682

Phone: 2158051307

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.