Armand Watson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA48592 Issued in CA

Practice address

9200 Milliken Ave Apt 8214
Rancho Cucamonga, CA 91730-8517

Phone

(909) 420-5751

Fax

(909) 360-1682

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiofusion Rehab Services, LLC

  • Occupational Therapist
  • Rancho Cucamonga, CA
  • NPI 1265025258
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1063775575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MILLIKEN AVE APT 8214",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308517",
            "telephone_number": "909-420-5751",
            "fax_number": "909-360-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MILLIKEN AVE APT 8214",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308517",
            "telephone_number": "909-420-5751",
            "fax_number": "909-360-1682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11650 Mission Park Dr",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917309008",
            "country_code": "US",
            "telephone_number": "909-278-6917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ARMAND",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "30380",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA48592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "physiofusionrehab.net",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "PhysioFusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "9200 Milliken Ave Apt 8214",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917308517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Water for You Inc (arrow respiratory care)
• Alexis Waters
• Tonya Jeannette Waters
• Veronica Watkins
• Alyssa Christina Watson
• Jenna Watson
• Patrice Watson
• Brandi Weathers
• Wendy Lynn Weaver, ACSW
• Michele Webb

• Physical Therapy Assistant in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.