Active NPI
Rick Watson
- Physical Therapy Clinic/Center
- Londonderry, NH
National Provider Identifier
1013303445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT7886
- Practice address
- 156 Harvey Rd
Londonderry, NH 03053-7449 - Phone
- (800) 657-6517
- NPI assigned
- Apr 13, 2015
- 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 Therapy Clinic/Center | 261QP2000X | PT7886 | OH | Primary |
Addresses
Primary practice location
156 Harvey Rd
Londonderry, NH 03053-7449
Mailing address
3145 Harding Ave
East Liverpool, OH 43920-4219
Phone (330) 932-0467
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7886 | OH | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1013303445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 HARDING AVE",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439204219",
"telephone_number": "330-932-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 HARVEY RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030537449",
"telephone_number": "800-657-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "RICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OH",
"license": "PT7886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.