Ashley H Willis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012449 Issued in GA

Practice address

130 E Broad St
Camilla, GA 31730-1809

Phone

(229) 336-1115

Fax

(229) 336-1151

NPI assigned

Aug 9, 2016

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

Other names 1

• Ashley C Holt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Regional Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Moultrie, GA
  • NPI 1528024387

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1861946774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 4TH ST NW",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282044",
            "telephone_number": "229-377-8646",
            "fax_number": "229-336-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301809",
            "telephone_number": "229-336-1115",
            "fax_number": "229-336-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Sunset Cir",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686934",
            "country_code": "US",
            "telephone_number": "229-985-2080",
            "fax_number": "229-890-3397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ASHLEY",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HOLT",
            "middle_name": "C",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reeshemah Yasmeen Whaley
• Hannah White
• Chantwaun Williams
• Porsha Williams, M.S.
• Yasmine Patrice Williams
• Linda Denise Wilson, PP/CPS
• Sheena Wilson, AA
• Mason Dean Worsham, DPT
• Amaiah Young, PT

• Physical Therapist in Camilla, GA
• Providers in Camilla, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.