Jonathan B. Willey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1525 Issued in OK

Practice address

6767 S Yale Ave Ste B
Tulsa, OK 74136-3302

Phone

(918) 494-3000

Fax

(918) 494-0003

NPI assigned

Jul 25, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• South Tulsa Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Jenks, OK
  • NPI 1487730958
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083804223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 S SHERIDAN RD UNIT B",
            "address_2": "SQUARE ONE SHOPPING CENTER",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741338950",
            "telephone_number": "918-481-3390",
            "fax_number": "918-481-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 S YALE AVE STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363302",
            "telephone_number": "918-494-3000",
            "fax_number": "918-494-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "JONATHAN",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leta Willcox
• Paula Willcox
• Lauren Nicole Willems
• Willemstein Enterprises, Inc
• Lecraig John Willemstein, D.C.
• Rebecca Willhite, LCSW
• William H Pittman
• William M. Nyquist D.D.S
• William R Grubb MD Inc
• Williams Medical Group Practice, LLC

• Physical Therapy Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.