MEDICARE: MR. WILLIAM W BILLS JR. PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	14-02588	KS
2	225200000X	Physical Therapy Assistant	1235	NE

General Provider Information

NPI Number	:	1902216062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM W BILLS JR. PTA

Provider Business Mailing Address
First Line	:	PO BOX 522
Second Line	:
City	:	ORLEANS
State	:	NE
Zip	:	68966-0522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 S. ORLEANS AVE.
Second Line	:
City	:	ORLEANS
State	:	NE
Zip	:	68966-0522
Country	:	US
Telephone Number	:	308-920-2234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2014
Last Update Date	:	04/29/2014

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Directions to “ MR. WILLIAM W BILLS JR. PTA” Practice Location

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