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MRS. SHANNON MARIE WILLIAMS OTR/L, CLT
NPI 1568189397
Occupational Therapist - Environmental Modification in Morehead City, NC

Active since October 24, 2022Accepts Medicare Assignment
607 WAGON RD, MOREHEAD CITY, NC 28557(443) 789-8530 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2024, Oct 24, 2022 (2 updates tracked since 2022).

About Mrs. Shannon Marie Williams Otr/l, Clt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON MARIE WILLIAMS OTR/L, CLT (NPI 1568189397) is an individual environmental modification provider in Morehead City, North Carolina, licensed in North Carolina (10328) and active in the NPI registry since October 2022. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1568189397
Entity TypeIndividualFemale
Primary Taxonomy225XE0001X
Provider Legal NameMRS. SHANNON MARIE WILLIAMSCredential: OTR/L, CLT
Location Address607 WAGON RDMorehead City, NC 28557-3174
Mailing Address607 Wagon RdMorehead City, NC 28557-3174 · (443) 789-8530
Phone(443) 789-8530
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 24, 2022
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1568189397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational Therapist · Environmental ModificationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XE0001X
License✔ Licensed in NC · 10328
Definition
Occupational therapy practitioners are experts at identifying the cause of difficulties in performance of activities of daily living and instrumental activities of daily living. Occupational therapy practitioners evaluate the client, their environment, and their occupational performance in that environment, as well as make recommendations for products to improve the fit between the client, place, and activity. Occupational therapists can evaluate both the skills of the client and the environmental features that support or limit the performance of meaningful or necessary activities, thereby enhancing health, safety and well-being. Based on this assessment, they recommend modification and intervention strategies that improve the fit between the person and his or her environment.
Also ListedOccupational TherapistTaxonomy 225X00000X · License 10328 (NC)
607 WAGON RD, Morehead City, NC 28557
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon Marie Williams Otr/l, Clt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840667473
PECOS Enrollment IDI20221110001099

Medicare Billing Reassignment

Medicare enrollment records show Shannon Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crystal Coast Wellness And Performance Center
2.5 mi
Dietitian, Registered
4913 BRIDGES ST EXT STE 102
Morehead City, NC 28557
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1679104293 (252) 808-5623

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Williams's NPI number?

The NPI number for Shannon Williams is 1568189397. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Shannon Williams located?

Shannon Williams practices at 607 Wagon Rd, Morehead City, NC 28557. The listed phone number is (443) 789-8530.

What is Shannon Williams's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Environmental Modification, with taxonomy code 225XE0001X.

Is Shannon Williams enrolled in Medicare?

Yes. Shannon Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Williams reassigns Medicare benefits to Crystal Coast Wellness And Performance Center (Morehead City, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Williams was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.