Alisa Ann Willingham, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2008021287 Issued in MO

Practice address

142 Shelby Plaza Rd
Shelbina, MO 63468-1065

Phone

(573) 588-4175

Fax

(573) 588-2011

NPI assigned

Jul 13, 2010

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 MO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of Missouri, Columbia School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Physical Therapy PCGroup PAC ID 9335190339, 27 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Midwest Physical Therapy, PC

  dba Mid America Physical Therapy

  • Physical Therapist
  • Unionville, MO
  • NPI 1144389677
  Medicare reassignment Care Compare group NPD
• NHC Healthcare-Macon LLC

  dba Macon Health Care Center

  • Skilled Nursing Facility
  • Macon, MO
  • NPI 1215238589
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1205148723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SHELBY PLAZA RD",
            "city": "SHELBINA",
            "state": "MO",
            "postal_code": "634681065",
            "telephone_number": "573-588-4175",
            "fax_number": "573-588-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SHELBY PLAZA RD",
            "city": "SHELBINA",
            "state": "MO",
            "postal_code": "634681065",
            "telephone_number": "573-588-4175",
            "fax_number": "573-588-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "ALISA",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2008021287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby County Senior Citizens Assocation Inc
• Shelby County Senior Citizens Association Inc.
• Spectrum Partners L.L.C. (Shelbina Villa Lifecare)
• The Baptist Home (Baptist Homes of Shelbina)
• Laura Ann Tullock, OTR

• Occupational Therapist in Shelbina, MO
• Providers in Shelbina, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.