Angie Cameron Williams, OTR
NPI 1649587882ActiveIndividual· Occupational Therapist· Morristown, TN
Occupational Therapist (OTR) with Jordan C Black, practicing in Morristown, Tennessee. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1649587882 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Sep 9, 2010 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 4266 | TN |
| Physical Therapy Assistant | 225200000X | 2605 | TN |
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 (TN) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Jordan C BlackMorristown, TN · 23 clinicians
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