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

Mrs. Shannon Marie Williams, OTR/L, CLT

Individual provider Occupational Therapist · NPI 1568189397

Mrs. Shannon Marie Williams, OTR/L, CLT is an Occupational Therapist in Private Practice in Morehead City, North Carolina. Qualified in 2015, 11 years ago. Practices with Crystal Coast Wellness and Performance Center, a 6-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

607 Wagon Rd
Morehead City, NC 28557-3174
Phone: (443) 789-8530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Environmental Modification Occupational Therapist (primary) Taxonomy 225XE0001X · Licence 10328 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence 10328 (NC)

Record details

NPI number1568189397
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L , CLT
Sole proprietorYes
NPI enumeratedOctober 24, 2022
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Crystal Coast Wellness And Performance Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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