Active NPI
Melody Rene Watson, PT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1215993647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4895
- Practice address
- 1120 S Utica Ave
Tulsa, OK 74104-4012 - Phone
- (918) 579-7100
- Fax
- (918) 579-7110
- NPI assigned
- Apr 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4895 | OK | Primary |
| Physical Therapist | 225100000X | 070 006 010 | IL |
Addresses
Primary practice location
1120 S Utica Ave
Tulsa, OK 74104-4012
Mailing address
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-7100
Other names 1
- Melody Rene Bimslager
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melody.watson@hillcrest.com | Direct | |
| Direct Messaging Address | melody.watson@hillcrest.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 070 006 010 | IL | MD | Physical Therapist |
| 4895 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1215993647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-579-7100",
"fax_number": "918-579-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-579-7100",
"fax_number": "918-579-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MELODY",
"middle_name": "RENE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4895",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070 006 010",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melody.watson@hillcrest.com",
"affiliation": "N",
"endpointDescription": "Ardent Hillcrest Medical Center Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1120 S Utica Ave",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741044012",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melody.watson@hillcrest.com",
"affiliation": "N",
"endpointDescription": "Ardent Hillcrest Medical Center email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1120 S Utica Ave",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741044012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MELODY",
"last_name": "BIMSLAGER",
"middle_name": "RENE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.