Active NPI
Theodore Willsey, PT, DPT, CSCS
- Physical Therapist
- Bethesda, MD
National Provider Identifier
1467821447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25656
- Practice address
- 6400 Goldsboro Rd
Suite 340
Bethesda, MD 20817-5826 - Phone
- (301) 493-8884
- NPI assigned
- Sep 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25656 | MD | Primary |
Addresses
Primary practice location
6400 Goldsboro Rd
Suite 340
Bethesda, MD 20817-5826
Mailing address
6400 Goldsboro Rd
Suite 340
Bethesda, MD 20817-5826
Phone (301) 493-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25656 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1467821447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 GOLDSBORO RD",
"address_2": "SUITE 340",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208175826",
"telephone_number": "301-493-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 GOLDSBORO RD",
"address_2": "SUITE 340",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208175826",
"telephone_number": "301-493-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSEY",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.