Patrice Watson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20621 Issued in CA

Practice address

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

Phone

(909) 420-5752

NPI assigned

Apr 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

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.

• Stem Cell Physical Therapy, P.C.

  • Occupational Therapist
  • Rancho Cucamonga, CA
  • NPI 1932045465
  NPD Authorized official
• CRS Physical Therapy Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1265478358
  Medicare reassignment

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1073132809",
    "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": "909-420-5752"
        },
        {
            "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": "909-420-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Jeannette Waters
• Veronica Watkins
• Alyssa Christina Watson
• Armand Watson, PTA
• Jenna Watson
• Brandi Weathers
• Wendy Lynn Weaver, ACSW
• Michele Webb
• Victoria Webster
• Wecare Dialysis Center

• Occupational Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.