Active NPI
David H Watkins, PT
- Physical Therapist
- Northfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2579
- Practice address
- 1381 Jefferson Rd
Northfield, MN 55057-3080 - Phone
- (507) 646-8800
- Fax
- (507) 646-8801
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2579 | MN | Primary |
Addresses
Primary practice location
1381 Jefferson Rd
Northfield, MN 55057-3080
Mailing address
1801 Jefferson Rd
Northfield, MN 55057-3155
Phone (507) 645-7637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Minnesota, Duluth School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
618 Division St S
Suite 103
Northfield, MN 55057-2489
Phone (507) 645-8325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northfield Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1651 Jefferson Pkwy
Northfield, MN 55057
Phone (507) 625-7660
618 Division St S
Ste 103
Northfield, MN 55057
Phone (507) 645-8325
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Northfield, MN
- NPI 1235310913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003995911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 JEFFERSON RD",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550573155",
"telephone_number": "507-645-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 JEFFERSON RD",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550573080",
"telephone_number": "507-646-8800",
"fax_number": "507-646-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "DAVID",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "2579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.