Melissa J Willis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9358 Issued in NC

Practice address

2819 Midway Rd SE Ste 114
Bolivia, NC 28422

Phone

(910) 253-9964

Fax

(910) 253-6934

NPI assigned

Oct 24, 2006

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 NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Therapy LLCGroup PAC ID 1153317300, 48 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.

• Integrated Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1326247248

  NC

  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1669432175
  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Butler Family Chiropractic, PLLC

  • Chiropractor
  • Jacksonville, NC
  • NPI 1558134981
  NPD (past)
• Carolina Health & Fitness, LLC

  • Physical Therapist
  • Cape Carteret, NC
  • NPI 1770562217
  NPD (past)
• Life Clinic of NC PC

  • Chiropractor
  • Raleigh, NC
  • NPI 1437650843

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1447333000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-682-8840",
            "fax_number": "423-602-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 MIDWAY RD SE STE 114",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "28422",
            "telephone_number": "910-253-9964",
            "fax_number": "910-253-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MELISSA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Anne Weatherford, FNP
• Ryleigh Weber, MS
• Carolyn Whitfield
• Lillie Williams, LCAS-A
• Ryan Williams
• Wilmington Family Practice PLLC
• Joshua Brewster Winslow, MD
• Edward Woo, MD
• Anne Wrenn, RD
• Brent D Wright, MD

• Physical Therapist in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.