Susan W. Watkins, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006646 Issued in VA

Practice address

100 Crofton PL
Palmyra, VA 22963-3300

Phone

(434) 589-9588

Fax

(434) 589-4096

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southeastern Physical Therapy, Inc

  • Physical Therapist
  • Palmyra, VA
  • NPI 1740407527
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1215999685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROFTON PL",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229633300",
            "telephone_number": "434-589-9588",
            "fax_number": "434-589-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROFTON PL",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229633300",
            "telephone_number": "434-589-9588",
            "fax_number": "434-589-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SUSAN",
        "middle_name": "W.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "437467",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie L. Stellern, PT
• Tidewater Physical Therapy, LLC
• Vantage Medical Trans
• Virginia CVS Pharmacy, L.L.C.
• Denise M Wall, LPN, IBCLC, RLC
• Kaitlyn Paxton Webster, CRNA
• Douglas Floyd Weiss, OD
• Victoria Molnar Weiss, OD
• Michelle Wellman, RPH
• Richard E. Wells Jr., D.C.

• Physical Therapist in Palmyra, VA
• Providers in Palmyra, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.