Active NPI
Wiloise Harper, PTA
- Physical Therapy Assistant
- Savannah, GA
National Provider Identifier
1609306182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA003563
- Practice address
- 1 Peachtree Dr
Savannah, GA 31419-1200 - Phone
- (800) 243-4556
- Fax
- (484) 813-6530
- NPI assigned
- Jun 15, 2017
- 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 Therapy Assistant | 225200000X | PTA003563 | GA | Primary |
Addresses
Primary practice location
1 Peachtree Dr
Savannah, GA 31419-1200
Mailing address
11910 White Bluff Rd Apt M7
Savannah, GA 31419-1534
Other names 1
- Wiloise Jackson
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA003563 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1609306182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11910 WHITE BLUFF RD APT M7",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PEACHTREE DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191200",
"telephone_number": "800-243-4556",
"fax_number": "484-813-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "WILOISE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA003563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILOISE",
"last_name": "JACKSON",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.