Ricky Lee Watts, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA014262 Issued in FL

Practice address

4141 Lakeland Hills Blvd
Lakeland, FL 33805-1978

Phone

(863) 937-8070

NPI assigned

Jul 20, 2010

Last updated

Jul 20, 2010By the provider in NPPES

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

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1316250384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 HEREFORD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338106215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338051978",
            "telephone_number": "863-937-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "RICKY",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA014262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hortense Marcia Watson, RN BSN
• Kimberly Watson, PHARM.D.
• Matthew Tyler Watson, DO
• Nakisha Lavon Watson, APRN
• Tyranese Watson
• Salema Watts, ARNP
• Omar Wazzan
• We Care to Stay, LLC
• Erika Weatherington, PHARMD, RPH, CPH
• Lora Weaver, LMT

• Physical Therapy Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.