Elizabeth Willison, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1260946 Issued in TX

Practice address

11500 Pellicano Dr Ste a-9
El Paso, TX 79936-6064

Phone

(915) 209-7124

Fax

(915) 247-4474

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tier 1 Direct Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Northvale, NJ
  • NPI 1598151185

  Physical Therapist

  NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1669943841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 PELLICANO DR STE A-9",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366064",
            "telephone_number": "915-209-7124",
            "fax_number": "915-247-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 PELLICANO DR STE A-9",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366064",
            "telephone_number": "915-209-7124",
            "fax_number": "915-247-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISON",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1260946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY EXAMINERS LICENSE",
            "identifier": "1260946",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Renee Williams
• Walter Howard Williams, D.P.M.
• Jeremy Scott Williamson, D.O.
• Christy Lynn Willis, MSN, FNP-C
• Sarah Willis
• Kraig Jordan Willison, D.M.D.
• Willow Essence Counseling
• Wyntre Wills
• Amy Rose Wilson, RN
• Bahaiz A Wilson, LMSW

• Physical Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.