Shirley Ann Willis, CTRS, ADC
NPI 1750996377ActiveIndividual· Recreation Therapist· Lexington, KY
Recreation Therapist (CTRS, ADC) in Lexington, Kentucky, with an NPI issued in September 2020.
Overview
| NPI | 1750996377 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CTRS, ADC |
| Sole proprietor | No |
| NPI issued | Sep 10, 2020 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Recreation Therapist Primary | 225800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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