Organization Active NPI

Willow Tree Wellness & Therapy Inc

  • Orthopedic Physical Therapist
  • Taylors, SC
National Provider Identifier
1801029426
Registry record updated Aug 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4816 Issued in SC
Legal business name
WILLOW TREE WELLNESS & THERAPY INC
Practice address
3014 Wade Hampton Blvd
Suite B
Taylors, SC 29687-2716
Phone
(864) 277-6242
NPI assigned
Aug 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2009

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

Authorized official

Name
Mr. Jennifer B Williams, PTNPI 1114975026
Title
Owner - President
Phone
(864) 363-7046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 4816 SC Primary

Addresses

Primary practice location

3014 Wade Hampton Blvd
Suite B
Taylors, SC 29687-2716

Mailing address

3014 Wade Hampton Blvd
Suite B
Taylors, SC 29687-2716
Phone (864) 277-6242

National Provider Directory

National Provider Directory

Locations

3014 Wade Hampton Blvd
Ste B
Taylors, SC 29687
Phone (864) 277-6242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251590400000",
    "number": "1801029426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 WADE HAMPTON BLVD",
            "address_2": "SUITE B",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872716",
            "telephone_number": "864-277-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 WADE HAMPTON BLVD",
            "address_2": "SUITE B",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872716",
            "telephone_number": "864-277-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE WELLNESS & THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-30",
        "last_updated": "2009-08-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "864-363-7046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "4816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylors, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2009; 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.