Active NPI
Jane A. Watson, P.T.
- Physical Therapist
- Gig Harbor, WA
National Provider Identifier
1164496170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000502
- Practice address
- 7306 Stinson Ave
Gig Harbor, WA 98335-1140 - Phone
- (253) 858-3332
- Fax
- (253) 858-3327
- NPI assigned
- Feb 15, 2006
- Last updated
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00000502 | WA | Primary |
Addresses
Primary practice location
7306 Stinson Ave
Gig Harbor, WA 98335-1140
Mailing address
2213 N Proctor St
Tacoma, WA 98406-5333
Phone (253) 752-2449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8341786 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 502 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1164496170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 N PROCTOR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065333",
"telephone_number": "253-752-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7306 STINSON AVE",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351140",
"telephone_number": "253-858-3332",
"fax_number": "253-858-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "JANE",
"middle_name": "A.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8341786",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
- Ken J Warter, RPH
- Washington CVS Pharmacy LLC (CVS Pharmacy #11673)
- Washington CVS Pharmacy LLC (CVS Pharmacy #16560)
- Washington Dental Corporation, PC (Olympic Modern Dentistry)
- Washington State Department of Corrections Washington Corrections Ce
- Michele Ann Waugh, RPH
- Matthew Blake Webber, ARNP
- Sarah Louise Weerheim, MSN, PMHNP
- Keith M Weigel, MD
- Malia Weigelt, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.