Active NPI
Jeb S Willard, RPT
- Physical Therapist
- Springhill, LA
National Provider Identifier
1689653552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00222R
- Practice address
- 206 Reynolds St
Springhill, LA 71075-3444 - Phone
- (318) 539-4006
- Fax
- (318) 539-4008
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- 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 Therapist | 225100000X | 00222R | LA | Primary |
Addresses
Primary practice location
206 Reynolds St
Springhill, LA 71075-3444
Mailing address
206 Reynolds St
Springhill, LA 71075-3444
Phone (318) 539-4006
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1689653552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 REYNOLDS ST",
"city": "SPRINGHILL",
"state": "LA",
"postal_code": "710753444",
"telephone_number": "318-539-4006",
"fax_number": "318-539-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 REYNOLDS ST",
"city": "SPRINGHILL",
"state": "LA",
"postal_code": "710753444",
"telephone_number": "318-539-4006",
"fax_number": "318-539-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "JEB",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "00222R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springhill, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.