Heather A Watter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23780 Issued in MD

Practice address

2415 Musgrove Road
Suite 303
Silver Spring, MD 20904-5223

Phone

(301) 989-9040

Fax

(301) 989-0939

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Wisconsin School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Physical Therapy LLCGroup PAC ID 0547427627, 6 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.

• Revive Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Ellicott City, MD
  • NPI 1215204110
  Medicare reassignment Care Compare group NPD
• Robert C Grossman & Assoc PA

  • Physical Therapist
  • Silver Spring, MD
  • NPI 1700950078
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1205129368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE ROAD",
            "address_2": "SUITE 303",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045223",
            "telephone_number": "301-989-9040",
            "fax_number": "301-989-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE ROAD",
            "address_2": "SUITE 303",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045223",
            "telephone_number": "301-989-9040",
            "fax_number": "301-989-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTER",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11685-024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katara Watkins Laws, PH.D.
• Donalee Watson-Dwyer
• Colin E Watson, DDS
• Dorothy Watson, CNA, CMT, TME, DSP.
• Isabelle Watson
• Emily Watterson
• We Help Clinical Services, LLC
• Ahron Leib Wealcatch, PA-C
• Evan Bryce Wearne, PHARM.D.
• Katherine Webb, CCC-SLP

• Physical Therapist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.