Mashawn Lewis Watts

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502005982 Issued in MI

Practice address

31023 Birchlawn St
Garden City, MI 48135-1995

Phone

(313) 492-6796

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1295486496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31023 BIRCHLAWN ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351995",
            "telephone_number": "313-492-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31023 BIRCHLAWN ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351995",
            "telephone_number": "313-492-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS WATTS",
        "first_name": "MASHAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey E Lawley, D.O.
• Ebony Lee
• Tae Eun Lee, R.D.
• Zachary Thomas Lemon, D.O.
• Leonard T Glinski DO PC
• James Lewis, DO
• Jordan Lewis, DO
• Denis R. Lincoln, M.D.
• Monqiue Yvonne Lindsey, DDS
• Brianna Lipa, DPT

• Physical Therapy Assistant in Garden City, MI
• Providers in Garden City, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.