Noreen S Willis

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0066571 Issued in NY

Practice address

26 Janet LN
Glen Cove, NY 11542-2809

Phone

(516) 477-8281

NPI assigned

Feb 12, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1386143733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JANET LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422809",
            "telephone_number": "516-477-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 JANET LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422809",
            "telephone_number": "516-477-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "NOREEN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "0066571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Body Physical Therapy, PLLC
• Mark Wielgus, PH.D.
• Victoria Wiggan, LPN
• Shanay Nicole Wilcox
• William R Basta MD PLLC
• Carol D Wojcik, PAC
• Chiling Wong, M.D.
• Kenneth T Wong, D.D.S.
• Edward Woodman, DDS
• Blake Worster, LMSW

• Occupational Therapy Assistant in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.