Active NPI
Daniel J Watson, DPT, DSC
- Physical Therapist
- Maxwell AFB, AL
National Provider Identifier
1316019383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 23392
- Practice address
- 300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027 - Phone
- (334) 953-5200
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 23392 | FL | Primary |
Addresses
Primary practice location
300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027
Mailing address
300 S. Twining St., BLDG 760
Maxwell AFB, AL 36112
Phone (334) 953-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 23392 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1316019383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S. TWINING ST., BLDG 760",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "36112",
"telephone_number": "334-953-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TWINING ST BLDG 760",
"city": "MAXWELL AFB",
"state": "AL",
"postal_code": "361126027",
"telephone_number": "334-953-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "DPT, DSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2022-08-31",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 23392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maxwell AFB, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.