Cedric D Watts, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR 1983 Issued in AR

Practice address

7500 Dollarway Rd
Suite 301
White Hall, AR 71602-3027

Phone

(870) 329-9626

Fax

(870) 534-5912

NPI assigned

Sep 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Out of Knowhere PLLC

  • Occupational Therapist
  • White Hall, AR
  • NPI 1770899122

  Massage Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1245463769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20969",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716120969",
            "telephone_number": "870-247-2099",
            "fax_number": "870-619-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD",
            "address_2": "SUITE 301",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023027",
            "telephone_number": "870-329-9626",
            "fax_number": "870-534-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "CEDRIC",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR 1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Pain Care, White Hall
• Walgreen Co (Walgreens #21551)
• Maricha Walker, LMSW
• Melinda Walker
• Jerlene Lamelle Washington, APN
• Well Woman LLC
• Wethington Management (Pamplin Audiology)
• Kristyn Wethington, AU.D. CCC-A
• White Hall Health & Rehab, LLC
• White Hall Holdings LLC (White Hall Health and Rehab)

• Occupational Therapist in White Hall, AR
• Providers in White Hall, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.