Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Javon Mytira Willis

Individual provider Physical Therapy Assistant · NPI 1861076200

Javon Mytira Willis is a Physical Therapy Assistant in Lutherville, Maryland. Licensed in Maryland. Registered with an NPI since 2021.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

2525 Pot Spring Rd
Lutherville, MD 21093-2778
Phone: (410) 561-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A5478 (MD)

Record details

NPI number1861076200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

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