Active NPI
Nathan D Watts, DPT
- Physical Therapist
- Hickory, NC
National Provider Identifier
1003215120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15118
- Practice address
- 2165 Medical Park Dr
Hickory, NC 28602-8809 - Phone
- (828) 294-9130
- Fax
- (828) 291-9159
- NPI assigned
- Aug 14, 2014
- Last updated
- May 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7495 | SC | |
| Physical Therapist | 225100000X | P15118 | NC | Primary |
Addresses
Primary practice location
2165 Medical Park Dr
Hickory, NC 28602-8809
Mailing address
2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 294-9130
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01386413 | Other | SC | MEDICARE RAILROAD PRS 4 LLC |
| P01386568 | Other | SC | RAILROAD MEDICARE PRS II LLC |
| P01386371 | Other | SC | RAILROAD MEDICARE PROFESSIONAL REHABILITATION SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7495 | SC | MD | Professional Counselor |
| P15118 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1003215120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 MEDICAL PARK DR",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028809",
"telephone_number": "828-294-9130",
"fax_number": "828-291-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 MEDICAL PARK DR",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028809",
"telephone_number": "828-294-9130",
"fax_number": "828-291-9159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "NATHAN",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7495",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PRS 4 LLC",
"identifier": "P01386413",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PRS II LLC",
"identifier": "P01386568",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROFESSIONAL REHABILITATION SERVICES",
"identifier": "P01386371",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.