Brittany Jessee Willis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11366R Issued in LA

Practice address

11424 Sullivan Rd
BLDG 3, Ste a
Baton Rouge, LA 70818-3615

Phone

(225) 261-7021

Fax

(225) 262-1826

NPI assigned

Aug 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brittany Nicole Jessee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Moreau Physical Therapy Inc.

  dba Moreau Physical Therapy

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1770568669
  NPD
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82

  dba Moreau Physical Therapy

  • Physical Therapist
  • Beaumont, TX
  • NPI 1831962018
  NPD

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1811443120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-654-8208",
            "fax_number": "225-465-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11424 SULLIVAN RD",
            "address_2": "BLDG 3, STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183615",
            "telephone_number": "225-261-7021",
            "fax_number": "225-262-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "BRITTANY",
        "middle_name": "JESSEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11366R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "JESSEE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelcie Kaliyah Williamson
• Lindsey Williamson, CIT
• Stormie Williamson, O.T.
• William Randall Williamson, MD
• Baylea Ballard Willis, FNP
• Camille Coats Willis, MD
• Cole Willis, DDS
• Sallie Willis
• Korey Daniel Willmann, M.D.
• Stephanie Wills, PTA

• Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.