TYLER WILLIAMS (NPI# 1104459890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104459890 |
| Entity Type | Individual |
| Full Name | TYLER WILLIAMS |
| Credential | OTR/L |
| Practice Address |
12812 Old Glenn Hwy Ste 3 Eagle River AK 99577-7002 |
| Mailing Address |
12110 Business Blvd Ste 6 Eagle River AK 99577-7798 |
| Practice Telephone | 9073179349 |
| Mailing Telephone | 9073179349 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 156929 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1901 N Hemmer Rd Ste 109, Palmer, AK 996459690 | 9073175895 | |
| 613 S Knik Goose Bay Rd Ste E, Wasilla, AK 996548090 | 9073175895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760702864 | Tyler N Williams | Dentist | 2245 Williamsburg Cir, West Jordan, UT 84088-6410 | 2010-06-11 |
| 1073798377 | Tyler Ray Williams | Internal Medicine | 3443 W 5600 S, Roy, UT 84067-9103 | 2008-01-04 |
| 1396368759 | Tyler Williams | Family Medicine | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2020-05-20 |
| 1154958353 | Tyler Daniel Williams | Student in an Organized Health Care Education/Training Program | 6565 Fannin St, Houston, TX 77030-2703 | 2020-03-26 |
| 1780214361 | Tyler Vance Williams | Chiropractor | 1105 Tryon Village Dr Ste 302, Cary, NC 27518-7170 | 2020-01-22 |
| 1639724602 | Tyler Bennett Williams | Behavioral Analyst | 1 Rathton Rd, York, PA 17403-3717 | 2019-08-07 |
| 1447804349 | Tyler Williams | Case Manager/Care Coordinator | 6425 W 12th St, Little Rock, AR 72204-1509 | 2019-07-29 |
| 1063904688 | Tyler Shane Williams | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2018-05-30 |
| 1386174209 | Tyler David Williams | Student in an Organized Health Care Education/Training Program | 22151 Moross Rd Ste 214, Detroit, MI 48236-2151 | 2017-06-13 |
| 1801321344 | Tyler Williams | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2017-04-21 |
| Street Address |
12812 OLD GLENN HWY STE 3 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255730594 | Courtney Shaeffer | Occupational Therapist | 12812 Old Glenn Hwy Ste A3, Eagle River, AK 99577-7003 | 2014-08-21 |
| 1487946752 | Annette M Numrich | Occupational Therapist | 1967 Otter Ln, Eagle River, WI 54521-8817 | 2011-05-05 |
| 1033425442 | Susan H. Kaplan | Occupational Therapist | 19635 Delphin Cir, Eagle River, AK 99577-8706 | 2010-08-23 |
| 1154656072 | Teresa Comer | Occupational Therapist | 10207 Stewart Drive, Eagle River, AK 99577 | 2009-10-09 |
| 1407906829 | Winnifred H Hill | Occupational Therapist | 10830 Sushana Cir, Eagle River, AK 99577-8394 | 2007-01-10 |
| 1952961765 | Kristin Marie Shepard | Occupational Therapist | 12812 Old Glenn Hwy Ste A3, Eagle River, AK 99577-7003 | 2019-06-14 |
| 1487213922 | Kelly Maureen Ott | Occupational Therapist | 21309 Lowland Ave, Eagle River, AK 99577-9565 | 2019-06-09 |
| 1265992085 | Vera Johnson | Occupational Therapist | 11901 Business Blvd Ste 209, Eagle River, AK 99577-7701 | 2019-03-20 |
| 1649744574 | Makayla Armstrong | Occupational Therapist | 12812 Old Glenn Hwy Ste A3, Eagle River, AK 99577-7003 | 2019-01-14 |
| 1578082921 | Philip Joseph Bianco White | Occupational Therapist | 12812 Old Glenn Hwy Ste A3, Eagle River, AK 99577-7003 | 2017-09-18 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.