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

Mr. Shawn M Williams, OT

Individual provider Specialist · NPI 1639162357

Mr. Shawn M Williams, OT is an Occupational Therapist in Private Practice in Peoria, Arizona. Qualified in 1999, 27 years ago. Practices with Brentom LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
27
Licensed in
AZ
In the registry since
2005
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

20783 N 83rd Ave Ste 103
Peoria, AZ 85382-7430
Phone: (623) 444-8880
Fax: (623) 444-9282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2491 (AZ)
Specialist Taxonomy 174400000X · Licence 2491 (AZ)

Record details

NPI number1639162357
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedAugust 29, 2005
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Brentom Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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