Individual provider Active NPI

Wesley Watson, PT

  • Physical Therapist
  • Florence, AZ
National Provider Identifier
1114573094
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
350 S Main St
Florence, AZ 85132
Phone
(520) 868-0098
NPI assigned
Aug 15, 2019
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

350 S Main St
Florence, AZ 85132

Mailing address

4050 E Cotton Center Blvd Ste 18
Phoenix, AZ 85040-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190927000264 AZ Practitioner - Physical Therapist in Private Practice 9537499900 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians

Practice addresses (Care Compare)

403 W Central Ave
Coolidge, AZ 85128-4708
Phone (520) 424-2222

Merit-based Incentive Payment System (MIPS)

Final score
52.81 of 100Reported as individual
Quality
28.33
Improvement activities
40
Cost
74.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physical Therapy LLC CurrentSince Aug 14, 2019 Accepting new patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince Nov 6, 2020 Accepting new patients

Locations

2161 E Pecos Rd
Ste 2
Chandler, AZ 85225
Phone (480) 219-9376

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

403 W Central Ave
Coolidge, AZ 85128
Phone (520) 424-2222

11851 N 51st Ave
Unit 110
Glendale, AZ 85304

7205 S 51st Ave
Ste 200
Laveen, AZ 85339
Phone (480) 653-8200

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

3301 N Miller Rd
Ste 170
Scottsdale, AZ 85251
Phone (480) 941-2739

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1114573094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 E COTTON CENTER BLVD STE 18",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85132",
            "telephone_number": "520-868-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.