Jeffrey W Wills, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3720 Issued in KY

Practice address

1010 Monarch St
Suite 150
Lexington, KY 40513-1497

Phone

(859) 219-0211

Fax

(859) 219-0241

NPI assigned

Jun 1, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drayer Physical Therapy Kentucky LLCGroup PAC ID 4284860966, 12 clinicians

Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians

Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  KY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Ky LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1043734221

  KY

  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy Kentucky LLC

  • Physical Therapist
  • Lexington, KY
  • NPI 1821430257
  Medicare reassignment Care Compare group
• Drayer Physical Therapy Kentucky LLC

  • Physical Therapist
  • Winchester, KY
  • NPI 1639511074
  NPD
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1609117811
  NPD (past)
• Kentucky Hand and Physical Therapy BC LLC

  • Physical Therapist
  • Lexington, KY
  • NPI 1639501224
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1831136498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MONARCH ST",
            "address_2": "SUITE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131497",
            "telephone_number": "859-219-0211",
            "fax_number": "859-219-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MONARCH ST",
            "address_2": "SUITE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131497",
            "telephone_number": "859-219-0211",
            "fax_number": "859-219-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000385840",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P400037267",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann Willis, CTRS, ADC
• Jason Alexander Willoughby, MHS, OTR/L, CHT
• Laura Denise Willoughby, OT
• Willow Creek Counseling Center LLC
• Willow Tree Pediatrics of Lexington
• Lucius Willson, ATC
• Theresa Ann Wilp, APRN
• H Andrew Wilsey, PHARMD
• Andrea Taylor Wilson Graf
• Wilson Pediatric Therapy LLC

• Physical Therapist in Lexington, KY
• Providers in Lexington, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.