Jacqueline Watson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-60105178 Issued in WA

Practice address

1240 Ruddell Rd SE
Lacey, WA 98503-5747

Phone

(425) 395-6006

Fax

(360) 360-8274

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

Yes

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.

• Life Span Occupational Therapy LLC

  • Occupational Therapist
  • Lacey, WA
  • NPI 1770164964
  NPD Authorized official
• Schusters Rehabilitation Services Inc.

  • Physical Therapist
  • Christiansted, VI
  • NPI 1275636722
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2021.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1114129491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4314",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "98387",
            "telephone_number": "425-395-6006",
            "fax_number": "360-878-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035747",
            "telephone_number": "425-395-6006",
            "fax_number": "360-360-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60105178",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT-60105178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shae Christine Waters Hale, DPT, PT
• Nathan Watkins
• Michelle Watson-Cheesman
• Cheryl L. E. Watson, MD
• Harold C Watson Jr., DDS
• Karen Christine Watson, OD
• Carrie Leann Watters, OD
• Kristen M Weaver, M.S., P.T.
• Terrika Nicole Weaver
• Elizabeth Weber, LMT

• All providers in Lacey, WA
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.