NPIMap

Individual provider Active NPI

Christina Marie Watson

  • Orthopedic Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1083117394
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501011018 Issued in MI
Practice address
44800 Delco Blvd
Sterling Heights, MI 48313-1026
Phone
(586) 726-6400
NPI assigned
Mar 13, 2018
Reactivated
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501011018 MI Primary

Addresses

Primary practice location

44800 Delco Blvd
Sterling Heights, MI 48313-1026

Mailing address

1423 Kentfield Dr
Rochester, MI 48307-6049
Phone (586) 255-2198

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwatson15532@direct.hfhs.org
Direct Messaging Address cwatson15532@direct.hfhs.org

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

LicenseStateTypeSpecialty
5501011018MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Past Accepting new patients
Henry Ford Health System Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1083117394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 KENTFIELD DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076049",
            "telephone_number": "586-255-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44800 DELCO BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131026",
            "telephone_number": "586-726-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "deactivation_date": "2022-10-26",
        "reactivation_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501011018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwatson15532@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "44800 Delco Blvd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483131026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwatson15532@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "44800 Delco Blvd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483131026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.