TERRI WILLIAMS (OTR/L) – Occupational Therapist, NPI 1790758597

TERRI WILLIAMS (OTR/L) is a healthcare provider. based in Jacksonville, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. OT10282 (FL). The NPI Number for TERRI WILLIAMS (OTR/L) is 1790758597

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
TERRI WILLIAMS (OTR/L)
NPI
1790758597
Phone
(904) 579-2824
Address
484 RIVERSIDE AVE
Enumeration Date
10 February 2006
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507416715
Graduation Year
2001 (25 years ago)
PAC ID
6002343175
Group Practice PAC ID
6305258013
Professional Enrollment ID
I20241231002802
Address ID
FL323080562TA2110XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for TERRI WILLIAMS (OTR/L)

  • 484 RIVERSIDE AVE

    JACKSONVILLE, FL 322024912

    Phone: (904) 579-2824

    Type: Location

  • PO BOX 932184

    ATLANTA, GA 311935912

    Phone: (856) 678-3484

    Type: Mailing

  • 513, West 6th Avenue, Tallahassee, Leon County, Florida, 32303, United States

    TALLAHASSEE, FL 323035912

    Phone: (850) 385-7291

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241231002802IOccupational Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305258013View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeLA
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What number should I use to identify TERRI WILLIAMS (OTR/L) for billing?
Administrative and clinical systems typically use NPI 1790758597 for TERRI WILLIAMS (OTR/L).
Quick check: is TERRI WILLIAMS (OTR/L) active?
Public NPPES data shows TERRI WILLIAMS (OTR/L) with an active NPI status right now.
What services align with TERRI WILLIAMS (OTR/L)'s listing?
TERRI WILLIAMS (OTR/L)'s public classification highlights Occupational Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TERRI WILLIAMS (OTR/L)?
TERRI WILLIAMS (OTR/L) is associated with Jacksonville, Florida in the same public data insurers reference.
Can I export TERRI WILLIAMS (OTR/L)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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