Joseph C Willis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1650 Issued in MS

Practice address

1893 S Eason Blvd
Tupelo, MS 38804-5953

Phone

(662) 840-2888

Fax

(662) 840-4245

NPI assigned

Feb 8, 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

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Solutions PLLCGroup PAC ID 4385688159, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rehab Solutions PLLC

  • Physical Therapist
  • Tupelo, MS
  • NPI 1861532715
  Medicare reassignment Care Compare group Authorized official
• Nettleton Medical Express Care LLC

  • General Practice Physician
  • Nettleton, MS
  • NPI 1518500677
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184764003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020004",
            "telephone_number": "662-840-2888",
            "fax_number": "662-840-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388045953",
            "telephone_number": "662-840-2888",
            "fax_number": "662-840-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Allen Williams, MD
• Stacy Lashaun Williams, MED, PCMHT
• Johnnie Warren Williamson, MD
• Karissa Williamson
• Sara Shari Williamson, MOTR/L, CLT
• Saundra Renee Willis, P.T.
• Grace Elizabeth Willoughby, DO
• Amanda L Wilson, MBA, CADC
• Dacre Wilson
• Dorothy Wilson

• Physical Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.