Individual provider Active NPI

Kristy Anne Willson, D.P.T.

  • Physical Therapist
  • Royersford, PA
National Provider Identifier
1992775738
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017101 Issued in PA
Practice address
406 Morgan Dr
Royersford, PA 19468-1879
Phone
(610) 999-5126
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017101 PA Primary

Addresses

Primary practice location

406 Morgan Dr
Royersford, PA 19468-1879

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000064 PA Practitioner - Physical Therapist in Private Practice 8224293584 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

266 Eagleview Blvd
Exton, PA 19341-1157
Phone (610) 524-1019

528 Kimberton Rd
Phoenixville, PA 19460-4737
Phone (610) 933-6232

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Sep 19, 2019 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jan 12, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 9, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients
Wallace & Nilan Physical Therapy and Fitness, LLC Physical Therapist PastSince May 21, 2011 Accepting new patients

Locations

100 Valley Center Rd
Wilmington, DE 19808
Phone (302) 229-1986

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

266 Eagleview Blvd
Exton, PA 19341
Phone (610) 524-1019

1600 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 233-9677

300 Welsh Rd
Bldg 1
Horsham, PA 19044

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

2660B Egypt Rd
Ste B
Norristown, PA 19403

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

528 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 933-6232

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

3483 Lincoln Hwy
Unit 2
Thorndale, PA 19372
Phone (484) 784-4158

1377 E Boot Rd
West Chester, PA 19380
Phone (610) 241-9787

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1992775738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MORGAN DR",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681879",
            "telephone_number": "610-999-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "KRISTY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.