Jason Alexander Willoughby, MHS, OTR/L, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

R2268 Issued in KY

Practice address

151 N Eagle Creek Dr
Suite 400
Lexington, KY 40509-1889

Phone

(859) 264-8866

Fax

(859) 264-1167

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kentucky Hand & Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1407989114
  NPD (past)
• Kentucky Hand and Physical Therapy BC LLC

  • Physical Therapist
  • Lexington, KY
  • NPI 1639501224
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1497740583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 HIGHWAY 45 N",
            "address_2": "SUITE 400",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051320",
            "telephone_number": "859-264-8866",
            "fax_number": "859-264-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR",
            "address_2": "SUITE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091889",
            "telephone_number": "859-264-8866",
            "fax_number": "859-264-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "JASON",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MHS, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "KY",
            "license": "R2268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR LHT",
            "identifier": "000000600569",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Willis
• Holly Willis, APRN
• Lauren Willis
• Mary Lauren Elizabeth Willis, PHARMD, BCOP
• Shirley Ann Willis, CTRS, ADC
• Laura Denise Willoughby, OT
• Willow Creek Counseling Center LLC
• Willow Tree Pediatrics of Lexington
• Jeffrey W Wills, PT
• Lucius Willson, ATC

• Hand Occupational Therapist in Lexington, KY
• Providers in Lexington, KY by specialty
• Hand Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.