Active NPI
Kathy Wills, D.P.T.
- Physical Therapist
- Richmond Hill, GA
National Provider Identifier
1508099631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009722
- Practice address
- 2709 US Highway 17 Ste A2
Richmond Hill, GA 31324-3795 - Phone
- (912) 756-5699
- Fax
- (912) 756-5388
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- 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 | PT009722 | GA | Primary |
Addresses
Primary practice location
2709 US Highway 17 Ste A2
Richmond Hill, GA 31324-3795
Mailing address
PO Box 2829
Richmond Hill, GA 31324-2829
Phone (912) 756-5699
Other names 1
- Kathy Ondishko
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Rehab Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Tybee Island, GA
- NPI 1588667430
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1508099631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2829",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313242829",
"telephone_number": "912-756-5699",
"fax_number": "912-756-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 US HIGHWAY 17 STE A2",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243795",
"telephone_number": "912-756-5699",
"fax_number": "912-756-5388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "KATHY",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "ONDISHKO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.