Individual provider Active NPI

Brianna Nichole Wills, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1275316010
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39380 Issued in FL
Practice address
19651 Bruce B Downs Blvd Ste D2
Tampa, FL 33647-3430
Phone
(813) 991-7193
NPI assigned
Aug 16, 2023
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39380 FL Primary

Addresses

Primary practice location

19651 Bruce B Downs Blvd Ste D2
Tampa, FL 33647-3430

Mailing address

37311 Kings Crown Dr
Zephyrhills, FL 33541-4433

Other names 1

  • Brianna Nichole Rodriguez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708003202 FL Practitioner - Physical Therapist in Private Practice 9335684950 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39380FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services, Inc. CurrentSince Jun 26, 2024 Accepting new patients
Physiotherapy Assoicates, Inc. CurrentSince Aug 27, 2023 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Jun 26, 2024 Accepting new patients
Physiotherapy Associates Inc PastSince Aug 27, 2023 Accepting new patients

Locations

5347 Main St
Ste 202
New Prt Rchy, FL 34652
Phone (727) 841-0515

19651 Bruce B Downs Blvd
Ste D2
Tampa, FL 33647
Phone (813) 991-7193

2318 Greenbranch Dr
Ste 102
Wesley Chapel, FL 33544
Phone (813) 738-9680

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1275316010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37311 KINGS CROWN DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19651 BRUCE B DOWNS BLVD STE D2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473430",
            "telephone_number": "813-991-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "BRIANNA",
        "middle_name": "NICHOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "RODRIGUEZ",
            "middle_name": "NICHOLE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.