Shannon Marie Williams, OTR/L, CLT
NPI 1568189397ActiveIndividual· Occupational Therapist, Environmental Modification· Morehead City, NC
Occupational Therapist, Environmental Modification (OTR/L, CLT) with Crystal Coast Wellness and Performance Center, practicing in Morehead City, North Carolina. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1568189397 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L, CLT |
| Sole proprietor | Yes |
| NPI issued | Oct 24, 2022 |
| Last updated in NPPES | Jun 11, 2024 |
| Certified by provider | Jun 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Environmental Modification Primary | 225XE0001X | 10328 | NC |
| Occupational Therapist | 225X00000X | 10328 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (NC) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Crystal Coast Wellness and Performance CenterMorehead City, NC · 6 clinicians