MR. JERRY BENJAMIN WILLS (NPI# 1407047848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407047848 |
| Entity Type | Individual |
| Full Name | MR. JERRY BENJAMIN WILLS |
| Credential | OTR/L |
| Practice Address |
5650 Muncaster Mill Rd Rockville MD 20855-1827 |
| Practice Telephone | 3017219291 |
| Practice Fax Number | 3019481464 |
| Mailing Telephone | 3017219291 |
| Mailing Fax Number | 3019481464 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01292 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND BOARD OF OCCUPAT | 01292 | 01 |
| Street Address |
5650 MUNCASTER MILL RD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20855-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104155316 | Joylynne Daniels Wills | Occupational Therapist | 5650 Muncaster Mill Rd, Rockville, MD 20855-1827 | 2009-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801388525 | Michael Robinson | Behavior Technician | 7613 Standish Place, Rockville, MD 20855 | 2018-05-30 |
| 1144722885 | Samantha Green | Occupational Therapist | 15850 Crabbs Branch Way # 150, Rockville, MD 20855 | 2018-03-07 |
| 1144690157 | Katrina Williams | Psychologist | 15744 Crabbs Branch Way Ste 100, Derwood, MD 20855 | 2015-10-02 |
| 1720321888 | Melanie Milczarski Smith | Specialist | 17620-a Redland Road, Rockville, MD 20855 | 2013-03-27 |
| 1104155167 | Nicole Renee Christenson | Nurse Practitioner | 6001 Muncaster Mill Rd., Rockville, MO 20855 | 2009-12-21 |
| 1104093244 | Diane Klucinikas Boyd | Audiologist | 18520 Azalea Drive, Derwood, MD 20855 | 2008-05-08 |
| 1437320413 | Shana Rene Mizzer | Social Worker | 8915 Shady Grove Court, Derwood, MD 20855 | 2008-03-18 |
| 1083786032 | Mary Foster Herbers | Social Worker | 15521 Villisca Terrace, Rockville, MD 20855 | 2006-11-14 |
| 1063583698 | Samuel Blum | Dentist | 15720 Crabbs Branch Way, No 1 C, Rockville, MD 20855 | 2006-11-13 |
| 1538639182 | Jamie Jackson | Behavior Technician | 7529 Standish Pl, Rockville, MD 20855 | 2018-11-27 |
| Find all providers in zip 20855 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720321888 | Melanie Milczarski Smith | Specialist | 17620-a Redland Road, Rockville, MD 20855 | 2013-03-27 |
| 1447505318 | Lorenzo Marcolin | Specialist | 13533 Glen Mill Rd, 7-1 Metropolitan Court, Rockville, MD 20850-3645 | 2012-07-17 |
| 1376865758 | Jane Cantor, LLC | Specialist | 932 Hungerford Drive, Suite 5b, Rockville, MD 20850-1750 | 2010-02-25 |
| 1316272131 | James Vorosmarti | Specialist | 16 Orchard Way S, Rockville, MD 20854-6130 | 2009-10-13 |
| 1609039007 | Kimberly W Hickey | Specialist | 10110 Molecular Dr Ste 218, Rockville, MD 20850-7542 | 2008-07-07 |
| 1417128182 | Washington Plastic Surgery Group, LLC | Specialist | 3203 Tower Oaks Blvd Ste 200, Rockville, MD 20852-4260 | 2008-03-20 |
| 1437331667 | Ot for Kids, LLC | Specialist | 966 Hungerford Dr Ste 7, Rockville, MD 20850-1742 | 2007-11-29 |
| 1952595084 | Visionary Ophthalmology LLC | Specialist | 11300 Rockville Pike Ste 1202, Rockville, MD 20852-3040 | 2007-08-31 |
| 1750592838 | Solace Pain Management & Rehabilitation LLC | Specialist | 14816 Physicians Ln Ste 151, Rockville, MD 20850-3937 | 2007-05-24 |
| 1679787048 | Marian Cuba Ruta | Specialist | 6278 Montrose Rd, Rockville, MD 20852-4119 | 2007-05-09 |
| Find all providers in ROCKVILLE | ||||
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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.