Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Malissa R Williams

Individual provider Occupational Therapist · NPI 1619692084

Malissa R Williams is an Occupational Therapist in Private Practice in Shawnee, Kansas. Qualified in 2021, 5 years ago. Practices with Smart Rehab, LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2022
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Practice location Address checks out

12802 Johnson Dr
Shawnee, KS 66216-1645
Phone: (913) 228-1407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 17-03963 (KS)

Record details

NPI number1619692084
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2022
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address1451 Nw 38th St Apt 202, Kansas City, MO 64116-4555

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Smart Rehab, Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawnee