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

Mr. Brent Alan Willard, LPTA

Individual provider Physical Therapy Assistant · NPI 1104033133

Mr. Brent Alan Willard, LPTA is a Physical Therapy Assistant in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

901 Bethesda Rd
Winston Salem, NC 27103-3015
Phone: (336) 768-2211
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 876 (NC)

Record details

NPI number1104033133
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 8, 2007

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