Active NPI
Michael Richard Watson, P.T.
- Physical Therapist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1112043
- Practice address
- 4801 S Buckner Blvd Ste 200
Dallas, TX 75227-2372 - Phone
- (214) 381-7700
- Fax
- (214) 381-7702
- NPI assigned
- Sep 13, 2012
- Last updated
- Aug 19, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1112043 | TX | Primary |
Addresses
Primary practice location
4801 S Buckner Blvd Ste 200
Dallas, TX 75227-2372
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 E Belt Line Rd
Suite 200
Richardson, TX 75081-4628
Phone (214) 210-4409
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1112043 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Buckner Family Medical Association, PA | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
14999 Preston Rd
Ste 108C
Dallas, TX 75254
Phone (214) 231-4154
6029 Forest Ln
Dallas, TX 75230
Phone (469) 872-7548
4401 N Interstate 35
Unit 110
Denton, TX 76207
Phone (940) 483-9020
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072
308 Coit Rd
Ste 400
Plano, TX 75075
Phone (469) 573-9606
4709 W Parker Rd
Ste 460
Plano, TX 75093
Phone (469) 440-5420
9613 Coit Rd
Ste 110
Plano, TX 75024
Phone (945) 544-4792
1450 E Belt Line Rd
Ste 200
Richardson, TX 75081
Phone (214) 210-4409
1701 Gateway Blvd
Ste 32
Richardson, TX 75080
Phone (972) 238-2841
210 W Campbell Rd
Richardson, TX 75080
Phone (469) 709-4178
2268 N Lake Shore Dr
Ste 106
Rockwall, TX 75087
Phone (214) 771-7960
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
809 Woodbridge Pkwy
Ste 200
Wylie, TX 75098
Phone (469) 299-5803
Organizations & group practices 4
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Physical Therapist
- Denton, TX
- NPI 1053417410
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
dba Patients Choice Family Medicine and Rehab
- Family Medicine Physician
- Dallas, TX
- NPI 1437106945
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1215287677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S BUCKNER BLVD STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752272372",
"telephone_number": "214-381-7700",
"fax_number": "214-381-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1112043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.