Jarvis Willis

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2168262 Issued in TX

Practice address

6625 N Main St
Houston, TX 77009-1063

Phone

(205) 874-5335

NPI assigned

Dec 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1922719517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 N MAIN ST UNIT G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770091066",
            "telephone_number": "205-874-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770091063",
            "telephone_number": "205-874-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 4th Pl NW",
            "address_purpose": "LOCATION",
            "city": "Center Point",
            "state": "AL",
            "postal_code": "352156112",
            "country_code": "US",
            "telephone_number": "205-874-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JARVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2168262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daunay Terra Senna Willis, APRN, FNP-C
• Diana G. Willis
• Dorothy Willis, M.D.
• Jamesia Deanna Willis
• Janice Lorraine Willis, RN, FNP-BC
• Jason Willis, M.D., PH.D.
• Kim Willis, LCSW
• Kristen Willis
• Lee T Willis, MA LPC RN
• Lindsey Kay Willis, PTA

• Physical Therapy Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.