Phoenix Conquest, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHOENIX CONQUEST, LLC

Doing business as

Watson Rehab Solutions

Practice address

228 Adams Pointe Blvd
Suite #6
Mars, PA 16046-4667

Phone

(412) 302-1668

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Mark Watson, P.T.NPI 1285618884

Title

Ceo

Phone

(412) 302-1668

Specialties & licenses 1

Addresses

Other names 1

• Watson Rehab Solutions Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Watson, PT

  • Physical Therapist
  • Greensboro, NC
  • NPI 1285618884
  NPD (past) Authorized official

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1225361074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160460844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 ADAMS POINTE BLVD",
            "address_2": "SUITE #6",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160464667",
            "telephone_number": "412-302-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CONQUEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-302-1668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Rehab Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Frederick Penrod, PH.D.
• Thomas Edward Perry, PTA
• Jacqueline Petruzzi, LPC
• Hugo James Pfaeffle, MD,PHD
• Angela Pfaff, LPC
• Physician Landing Zone, P.C.
• Maria D. Pieffer, P.T.
• Plan to Live LLC
• Heather Lynn Ponzo, OTR/L
• Joseph Mark Prybyl, D.D.S.

• Physical Therapy Clinic/Center in Mars, PA
• Providers in Mars, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.