Rylan Willis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT296981 Issued in CA

Practice address

468 Manzanita Ave Ste 3
Chico, CA 95926-1358

Phone

(530) 774-2261

NPI assigned

May 27, 2021

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advantage Wellness and Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Chico, CA
  • NPI 1326805490

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Advantage Speech Therapy Inc

  dba Advantage Therapy Services

  • Hearing and Speech Clinic/Center
  • Chico, CA
  • NPI 1164166963
  Medicare reassignment NPD
• Haley Willis, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Chico, CA
  • NPI 1043897028
  Medicare reassignment

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1669048021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 SILVERBELL RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730386",
            "telephone_number": "530-774-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 MANZANITA AVE STE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261358",
            "telephone_number": "530-774-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RYLAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Joy Williams
• Rebecca Lynn Williamson, M.S.
• Alexandria Alisse Willingham
• Haley Willis, M.A., CCC-SLP
• Raen E Willis
• Willow Glen Care Center
• Willow Glen Care Center
• Willow Wellness Center
• Joseph Boone Wills III, MFT
• Dale J. Wilms, M.D.

• Physical Therapist in Chico, CA
• Providers in Chico, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.