Jamal Omar Willis

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

TOP009273 Issued in PA

Practice address

2101 Belmont Ave
Philadelphia, PA 19131-1648

Phone

(215) 878-3600

NPI assigned

Jul 12, 2019

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

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1528610250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263222",
            "telephone_number": "267-270-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BELMONT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311648",
            "telephone_number": "215-878-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JAMAL",
        "middle_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "TOP009273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Williamson, COTA/L
• Treesa Williamson, CRNP
• Jose Antonio Williford
• Alliric I. Willis, M.D.
• Alyssa Willis
• Robert Willis
• Willits Road Pharmacy Inc
• Rachel Willms, M.S.
• Okeoghene Willoby, CRNP
• Azilee Willoughby

• Occupational Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.