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

Robert William Willis, PTA

Individual provider Physical Therapy Assistant · NPI 1023399516

Robert William Willis, PTA is a Physical Therapy Assistant in Laurel, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

14502 Greenview Dr Ste 408
Laurel, MD 20708-3287
Phone: (301) 362-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A3634 (MD)

Record details

NPI number1023399516
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 29, 2011
Last updated in NPPESAugust 29, 2011
Mailing address4740 Everlea Ct, Preston, MD 21655-1569

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