Individual provider Active NPI

Tonya Lynn Willroth

  • Physical Therapy Assistant
  • Wesley Chapel, FL
National Provider Identifier
1487040531
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA22311 Issued in FL
Practice address
27613 Pleasure Ride Loop
Wesley Chapel, FL 33544-1837
Phone
(479) 420-9701
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA22311 FL Primary

Addresses

Primary practice location

27613 Pleasure Ride Loop
Wesley Chapel, FL 33544-1837

Mailing address

27613 Pleasure Ride Loop
Wesley Chapel, FL 33544-1837
Phone (479) 420-9701

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA22311FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1487040531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27613 PLEASURE RIDE LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335441837",
            "telephone_number": "479-420-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27613 PLEASURE RIDE LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335441837",
            "telephone_number": "479-420-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLROTH",
        "first_name": "TONYA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.