Active NPI
Andrew Dawson Watson, OTR
- Occupational Therapist
- Newburgh, IN
National Provider Identifier
1174146252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005379A
- Practice address
- 9800 Outer Lincoln Ave
Newburgh, IN 47630-2440 - Phone
- (812) 801-4358
- NPI assigned
- May 22, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31005379A | IN | Primary |
Addresses
Primary practice location
9800 Outer Lincoln Ave
Newburgh, IN 47630-2440
Mailing address
1355 Mesker Park Dr
Evansville, IN 47720-8221
Phone (812) 457-8882
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005379A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1174146252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 MESKER PARK DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477208221",
"telephone_number": "812-457-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 OUTER LINCOLN AVE",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476302440",
"telephone_number": "812-801-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ANDREW",
"middle_name": "DAWSON",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005379A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.