Active NPI
Jill Willis
- Occupational Therapy Assistant
- Washington Terrace, UT
National Provider Identifier
1912549015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 375 E 5350 S
Washington Terrace, UT 84405-6934 - Phone
- (801) 479-5700
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
375 E 5350 S
Washington Terrace, UT 84405-6934
Mailing address
2234 N 1300 W
Clinton, UT 84015-9049
Phone (801) 927-8113
Other practice location 1
1205 N Fairfield Rd
Layton, UT 84041-8300
Phone (801) 807-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1912549015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 N 1300 W",
"city": "CLINTON",
"state": "UT",
"postal_code": "840159049",
"telephone_number": "801-927-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E 5350 S",
"city": "WASHINGTON TERRACE",
"state": "UT",
"postal_code": "844056934",
"telephone_number": "801-479-5700"
}
],
"practiceLocations": [
{
"address_1": "1205 N Fairfield Rd",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840418300",
"country_code": "US",
"telephone_number": "801-807-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington Terrace, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.