Janine Celia Willey, L.M.T., C.N.M.T

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT006850 Issued in GA

Practice address

2080 Fairburn Rd
Suite G
Douglasville, GA 30135-1064

Phone

(678) 213-4266

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1518217405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LOST LAKE WAY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301804864",
            "telephone_number": "770-630-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 FAIRBURN RD",
            "address_2": "SUITE G",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351064",
            "telephone_number": "678-213-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "JANINE",
        "middle_name": "CELIA",
        "name_prefix": "Mrs.",
        "credential": "L.M.T., C.N.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "MT006850",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "MT006850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle D. Wigley, LCSW
• John Bradley Wilcox, HAD
• John Wesley Wilcox II
• Shannon Renard Wilkerson, EDD
• Kimberly Michelle Wilkes
• William W. Tung MD P.C.
• Williams Pharmacy
• Antonio Alexander Williams, M.D.
• Bertha Williams, PT
• Dianna Williams, LPN

• Mechanotherapist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Mechanotherapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.