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

Mr. Jeremy Alan Willard, PTA

Individual provider Physical Therapy Assistant · NPI 1124190327

Mr. Jeremy Alan Willard, PTA is a Physical Therapy Assistant in Norwood, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Partly verified

Some contact details are missing from the federal record.

St Lawrence Ntsarc Inc 63 1-2 B South Main St
Norwood, NY 13668
Phone: (315) 353-6652
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0055051 (NY)

Record details

NPI number1124190327
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESJuly 8, 2007