Active NPI
Matthew Jay Watkins, L.M.T.
- Massage Therapist
- Littleton, CO
National Provider Identifier
1316265093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5243
- Practice address
- 4899 S Dudley St Apt J23
Littleton, CO 80123-7639 - Phone
- (720) 675-9740
- NPI assigned
- May 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5243 | CO | Primary |
Addresses
Primary practice location
4899 S Dudley St Apt J23
Littleton, CO 80123-7639
Mailing address
4899 S Dudley St Apt J23
Littleton, CO 80123-7639
Phone (720) 675-9740
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 |
|---|---|---|---|
| 5243 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1316265093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4899 S DUDLEY ST APT J23",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801237639",
"telephone_number": "720-675-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4899 S DUDLEY ST APT J23",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801237639",
"telephone_number": "720-675-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "MATTHEW",
"middle_name": "JAY",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-05",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "5243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.