Sandra Willett
Individual provider Active NPI Physical Therapy Assistant · Somerset, KY
NPI 1154522076 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1154522076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A00749 (KY)
- Practice address
- 175 Medpark Dr
Somerset, KY 42503-2734 - Phone
- (606) 679-1761
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00749 | KY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Hills Therapy Services LLC | Physical Therapy Assistant | Past | Accepting new patients |
| Southern Hills Therapy Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A00749 | KY | Yes |
Addresses
Primary practice location
175 Medpark Dr
Somerset, KY 42503-2734
Mailing address
77 Warrick Rd
Monticello, KY 42633-2680
Phone (606) 217-3074
Other practice location 1
398 Fincastle Rd
Winchester, OH 45697-9783
Phone (937) 695-0839
Other providers in Somerset, KY
- Christopher Whitsell
- Naomi Whittington
- Rebecca Whitworth
- Stacy Michelle Wiese-Brown
- Rebecca Wietecki
- William a. Caudill, DMD, PSC
- Amy J William
- Andrea Williams
- Bernard Williams
- Bethany Williams
All providers in Somerset, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.