NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Brent Alan Willard, LPTA

Physical Therapy Assistant in Winston Salem, NC · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104033133

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Mr. Brent Alan Willard
Credential LPTA
Sex Male
Practice address 901 Bethesda Rd, Winston Salem, NC, 27103
Phone (336) 768-2211
Enumeration date May 17, 2007
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 876 (NC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1104033133 active?
Yes, as of the latest NPPES snapshot, NPI 1104033133 is active (record last updated 2007-07-08).
How do I verify Brent Willard's NPI record?
Cross-check NPI 1104033133 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.