Tashnee Amanda Willis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299453 Issued in CA

Practice address

141 Triunfo Canyon Rd
Westlake Village, CA 91361-2525

Phone

(805) 373-6560

Fax

(805) 373-5120

NPI assigned

Nov 9, 2020

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)

Enrolled

State licenses

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1992307532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TRIUNFO CANYON RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612525",
            "telephone_number": "805-373-6560",
            "fax_number": "805-373-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TRIUNFO CANYON RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612525",
            "telephone_number": "805-373-6560",
            "fax_number": "805-373-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "TASHNEE",
        "middle_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua J Williams, PSY.D.
• Nichole Williams, M.A., BCBA
• Troy Christopher Williams, M.D.
• Hayley Marie Willis, AMFT
• Michael Willis, D.C.
• Megan Winer
• Craig Winkelman, DDS
• Jason Aaron Winston, M.D.
• Julie Winzelberg
• Wise Wings Family Counseling Incorporated

• Physical Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.