MALISSA R WILLIAMS
NPI 1619692084
Occupational Therapist in Shawnee, KS

Active since October 07, 2022Accepts Medicare Assignment
12802 JOHNSON DR, SHAWNEE, KS 66216(913) 228-1407 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Malissa R Williams NPPES

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

MALISSA R WILLIAMS (NPI 1619692084) is an individual occupational therapist in Shawnee, Kansas, licensed in Kansas (17-03963) and active in the NPI registry since October 2022. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1619692084
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMALISSA R WILLIAMS
Location Address12802 JOHNSON DRShawnee, KS 66216-1645
Mailing Address1451 Nw 38th St Apt 202Kansas City, MO 64116-4555 · (636) 485-0797
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 7, 2022
NPPES CertifiedOctober 7, 2022
✔ NPI 1619692084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in KS · 17-03963
Definition
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.
12802 JOHNSON DR, Shawnee, KS 66216

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

Malissa R Williams 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 ID8022511153
PECOS Enrollment IDI20250912003299

Medicare Billing Reassignment

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

Physical Therapist
524 S CRESCENT DR
Kirkwood, MO 63122
  • Reassigned Medicare billing, Missouri enrollment
  • 30 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
12802 JOHNSON DR
SHAWNEE, KS 66216
Physical Therapist
12802 JOHNSON DR
SHAWNEE, KS 66216
Speech-Language Pathologist
12802 JOHNSON DR
SHAWNEE, KS 66216
Physical Therapist
12802 JOHNSON DR
SHAWNEE, KS 66216
Physical Therapy Assistant
12802 JOHNSON DR
SHAWNEE, KS 66216
Occupational Therapy Assistant
12802 JOHNSON DR
SHAWNEE, KS 66216
Skilled Nursing Facility
12802 JOHNSON DR
SHAWNEE, KS 66216
Occupational Therapist
12802 JOHNSON DR
SHAWNEE, KS 66216

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 Malissa Williams's NPI number?

The NPI number for Malissa Williams is 1619692084. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Where is Malissa Williams located?

Malissa Williams practices at 12802 Johnson Dr, Shawnee, KS 66216. The listed phone number is (913) 228-1407.

What is Malissa Williams's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Malissa Williams enrolled in Medicare?

Yes. Malissa 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 Malissa Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malissa Williams reassigns Medicare benefits to Smart Rehab, LLC (Kirkwood, MO). 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 Malissa 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 Malissa Williams was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.