Donna Suzanne Willeford, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2227 Issued in OK

Practice address

916 SW 38TH St Ste C
Lawton, OK 73505-7005

Phone

(580) 599-0919

Fax

(580) 599-0955

NPI assigned

Nov 5, 2007

Last updated

Feb 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broad River Rehabilitation

  dba Broad River Rehab

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589

  OK, Physical Therapist

  Medicare reassignment NPD
• Blue Rock Health and Wellness LLC

  • Physical Therapy Clinic/Center
  • Marlow, OK
  • NPI 1578046827

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1023298288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SW 38TH ST STE C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057005",
            "telephone_number": "580-599-0919",
            "fax_number": "580-599-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEFORD",
        "first_name": "DONNA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cali Wilcox
• Wildstate Lawton LLC
• Wildstate Lawton LLC
• Crystal Renee Wiley
• Emmett Wilkerson
• William Cater Jr., DDS
• William S, Davies, M.D., Inc.
• Williams and Simpkins Inc (Nora O'Neal Adult Day Care)
• Williams Medical Group Practice, LLC (Integrity Urgent Care)
• Williams-Simpkins Inc. (Noraoneal Adult Day Care Center)

• Physical Therapist in Lawton, OK
• Providers in Lawton, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.