Joshua Drage Watson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297420 Issued in CA

Practice address

30230 Rancho Viejo Rd Ste 120
San Juan Capistrano, CA 92675-1569

Phone

(949) 461-1250

Fax

(949) 429-5999

NPI assigned

Jan 17, 2020

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Medical Branch at Galveston, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intecore Inc 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Intecore, Inc.

  • Physical Therapist
  • Foothill Ranch, CA
  • NPI 1912042714

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Impact Rehabilitation Center Inc

  • Specialist
  • Orange, CA
  • NPI 1801817739

  CA, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1114557147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26741 PORTOLA PKWY STE 1E-630",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101743",
            "telephone_number": "409-771-9642",
            "fax_number": "949-597-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD STE 120",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751569",
            "telephone_number": "949-461-1250",
            "fax_number": "949-429-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JOSHUA",
        "middle_name": "DRAGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisa Waheeduddin, SLPA
• Kenneth Wahlstrom, PHARM.D.
• Walk Intuit Inc.
• Lynn Watkins, PT
• Jacob Ryan Watson
• Nairobi Watson, NP
• Kelly Breanne Waugh, PPS
• Karin Corinne Weber, LMFT
• Tanner Weeks
• Kristine Weir, BCABA

• All providers in San Juan Capistrano, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.