Karen D. Willis, BS, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7510 Issued in MA

Practice address

607 North Ave
Suite 12
Wakefield, MA 01880-1307

Phone

(800) 831-3882

NPI assigned

May 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750503413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HILLSIDE AVE",
            "address_2": "APT 1",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763515",
            "telephone_number": "781-662-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NORTH AVE",
            "address_2": "SUITE 12",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801307",
            "telephone_number": "800-831-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KAREN",
        "middle_name": "D.",
        "credential": "BS, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "7510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Kai Wickenden, DPT
• Nathan Wilcox, LICSW
• William J. Fiore, DMD, P.C.
• Karen Williams
• Tom Richard Williams
• Ashley Wilson, PT, DPT
• Saroya Leanetta-Ann Wilson
• Daniel John Witkowski, MD
• Wiwat, P.C.
• Laura Wolfe, LICSW

• Physical Therapy Assistant in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.