Mary K Willard, LICENSED PHYSICAL TH

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306000757 Issued in VA

Practice address

342 Virginia Avenue
Heartland Rehabilitation Services of Virginia Inc
Wytheville, VA 24382

Phone

(276) 228-6200

Fax

(276) 228-9175

NPI assigned

Jul 10, 2007

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

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1972701126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 VIRGINIA AVENUE",
            "address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "24382",
            "telephone_number": "276-228-6200",
            "fax_number": "276-228-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 VIRGINIA AVENUE",
            "address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "24382",
            "telephone_number": "276-228-6200",
            "fax_number": "276-228-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "LICENSED PHYSICAL TH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306000757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Cressel White, LPC
• Aubrey L Whitlow Jr., LICENSED PHYSICAL TH
• Dixie Whitt
• Jessica Nicole Whitt, COTA
• Andrew Preston Widener, FNP
• Megan L Williams, RD
• Wilson Dental PC
• Deidre Smith Wilson, DDS
• Eric Wilson, D.D.S.
• Matthew Woodlee, LMT

• Physical Therapy Assistant in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.