Anara Watters, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00341400 Issued in NJ

Practice address

350 W Saint Georges Ave
Linden, NJ 07036-5640

Phone

(908) 925-6797

NPI assigned

Mar 18, 2018

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": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1104329937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RED OAK LN APT D",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365640",
            "telephone_number": "908-925-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "ANARA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00341400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3469)
• Walgreen Eastern Co, Inc (Walgreens #04109)
• Magdalena Anna Wareda, RN
• Tahlia Elisabeth Wasserman, PT, DPT
• Danielle M Wassum, PT, DPT
• Zygmunt Wawrzyniak, MD
• Stella Weimiao Weng, DDS
• Nicole Christine Wesley, LPN
• Hannah Wikkeling, PA-C
• Will Ellavate Wellness (EllaVate Education)

• Physical Therapy Assistant in Linden, NJ
• Providers in Linden, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.