Jennifer Willis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5438 Issued in OH

Practice address

1 Donham PLZ FL 4
Middletown, OH 45042-1932

Phone

(513) 423-0781

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Middletown Board of Education

  • Local Education Agency (LEA)
  • Middletown, OH
  • NPI 1275733990
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1831578277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DONHAM PLZ FL 4",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DONHAM PLZ FL 4",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421932",
            "telephone_number": "513-423-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "5438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Megan Williams
• Craig F Williams, DO
• Katherine Amy Williams
• Todd Williams, CASE MANAGER, QMHS
• Whitney Jenell Williams, LPN
• Lisa Marie Willis
• Teresia Willis
• Willow Knoll Retirement Community
• Peter Michael Wills, D.D.S.
• Bethany Wilson-Paul, LISW

• Physical Therapy Assistant in Middletown, OH
• Providers in Middletown, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.