Starr Benson Watson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1818 Issued in NC

Practice address

2744 S 17TH St
Wilmington, NC 28412-6606

Phone

(910) 794-3319

Fax

(910) 794-3334

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083739569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 MERESTONE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284125155",
            "telephone_number": "910-392-5618",
            "fax_number": "910-794-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126606",
            "telephone_number": "910-794-3319",
            "fax_number": "910-794-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "STARR",
        "middle_name": "BENSON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Ray Watson, DO
• Larry Irving Watson Jr., MD
• Lisa McIntosh Watson, FNP
• Noah F Watson, LCMHCA, LCASA
• Samantha Watson, M.D.
• Linda M Watts, CRNA
• Shannah Riley Wayne
• David Allen Weatherford, M.D.
• Marsha Weatherly
• Thomas Anthony Weathers, LCAS/LCSW

• Physical Therapy Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapy Assistant in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.