MRS. CRYSTAL LYNN WILLIS (NPI# 1639413966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639413966 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL LYNN WILLIS |
| Credential | PTA |
| Practice Address |
775 Sunset Dr Athens GA 30606-2211 |
| Mailing Address |
935 Lem Edwards Rd Winterville GA 30683-2021 |
| Practice Telephone | 7064251543 |
| Mailing Telephone | 7062551093 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 002045 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813830 | Crystal Willis | Licensed Practical Nurse | 253 Roddy Branch Rd, Rockford, TN 37853-3108 | 2016-06-28 |
| 1013211911 | Crystal Ann Willis | Rehabilitation Practitioner | 2821 White Peaks Ave, N Las Vegas, NV 89081-2437 | 2011-01-06 |
| 1316459662 | Crystal Willis | Case Manager/Care Coordinator | 150 Cross St, Akron, OH 44311-1026 | 2017-10-26 |
| 1164882320 | Crystal L Willis | Registered Nurse | 2000 Hampton St, Columbia, SC 29204-1002 | 2016-03-02 |
| 1013289800 | Crystal Danielle Willis | Pharmacist | 2102 W Baker St, Plant City, FL 33563-1643 | 2012-02-08 |
| Street Address |
775 SUNSET DR |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568412146 | Perry R Hearn | Emergency Medicine | 775 Sunset Dr, Athens, GA 30606 | 2006-05-12 |
| 1114555083 | Kaelan Dawson | Nurse Practitioner | 775 Sunset Dr, Athens, GA 30606-2211 | 2020-03-27 |
| 1891330296 | Robert Michael Gifford | Nurse Practitioner | 775 Sunset Dr, Athens, GA 30606-2211 | 2019-11-10 |
| 1619441359 | Christine Carullo | Speech-Language Pathologist | 775 Sunset Dr, Athens, GA 30606-2211 | 2019-01-16 |
| 1003382649 | Heather Wendell | Occupational Therapy Assistant | 775 Sunset Dr, Athens, GA 30606-2211 | 2018-10-22 |
| 1366949521 | Melissa Ann Mcdowell | Registered Nurse | 775 Sunset Dr, Athens, GA 30606-2211 | 2018-04-12 |
| 1508392325 | Dawn Vanover | Nurse Practitioner | 775 Sunset Dr, Athens, GA 30606-2211 | 2017-05-11 |
| 1215302526 | Candice Shadel Granger | Occupational Therapy Assistant | 775 Sunset Dr, Athens, GA 30606-2211 | 2015-12-11 |
| 1316284334 | Christen Bambrick Warren | Physical Therapist | 775 Sunset Dr, Athens, GA 30606-2211 | 2013-01-10 |
| 1124363296 | Ashley Toomer Camoosa | Physical Therapy Assistant | 775 Sunset Dr, Athens, GA 30606-2211 | 2012-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292557 | Jennifer Lynne Cicora | Physical Therapy Assistant | 775 Epps Bridge Pkwy, Athens, GA 30606-3350 | 2020-07-17 |
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1346800414 | Matthew Ryan Murray | Physical Therapy Assistant | 8081 Macon Hwy, Athens, GA 30606-5388 | 2019-06-19 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1568025930 | Craig Combs | Physical Therapy Assistant | 615 Country Club Cir, Athens, TX 75751-3165 | 2019-04-20 |
| 1407354814 | Laura W English | Physical Therapy Assistant | 1010 Prince Ave Ste 115, Athens, GA 30606-5815 | 2018-01-31 |
| 1831549963 | Sara K Mitchell - Ballard | Physical Therapy Assistant | 1808 Decatur Pike # 20, Athens, TN 37303-4984 | 2016-06-20 |
| 1982091336 | Charles Thomas Medlin Jr. | Physical Therapy Assistant | 160 Davis Estates Rd, Athens, GA 30606-5008 | 2015-04-23 |
| 1326435876 | Donald Charles Dyer Jr. | Physical Therapy Assistant | 801 Riverhill Dr, Athens, GA 30606-4067 | 2015-04-22 |
| 1417341629 | Christy Metzger | Physical Therapy Assistant | 17745 Sweetbriar Dr, Athens, AL 35613-5205 | 2015-03-25 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.