Mark A Watson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P11928 Issued in NC

Practice address

4112 Spring Garden St
Greensboro, NC 27407-1684

Phone

(336) 294-0910

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Phoenix Conquest, LLC

  • Physical Therapy Clinic/Center
  • Mars, PA
  • NPI 1225361074
  NPD (past) Authorized official
• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)
• Integrative Therapies, Inc.

  • Physical Therapist
  • Greensboro, NC
  • NPI 1043278195
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1285618884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 SPRING GARDEN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071684",
            "telephone_number": "336-294-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 SPRING GARDEN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071684",
            "telephone_number": "336-294-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011181",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addie Watson
• Jaquan Watson
• Jenniffer Watson
• Jevara Nicole Watson, LCMHCA
• Laura Watson, MS, RD, LDN
• William Joseph Watson Jr.
• Alan Henderson Watt, PA-C
• Natalie Watt, FNP-C
• Shannon Ashley Watterson, PA
• Eva Jane Watts, MSW,LCSW,CSAC

• Physical Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.