Lakyn Danielle Watts, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4797 Issued in AR

Practice address

504 E 4TH St N
Prescott, AR 71857-2254

Phone

(870) 887-6674

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lakyn Danielle Roberts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• PNC, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Prescott, AR
  • NPI 1295949238
  NPD (past)

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1336865799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 HIGHWAY 26 W",
            "city": "OKOLONA",
            "state": "AR",
            "postal_code": "719629779",
            "telephone_number": "870-925-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 4TH ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718572254",
            "telephone_number": "870-887-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LAKYN",
        "middle_name": "DANIELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKYN",
            "last_name": "ROBERTS",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles A. Vermont, M.D.
• W.Darrel Fain D.D.S. P.a.
• Aubrey Walker, QBHP
• Alicia L Washington
• Lacy Watts
• Stacie A Webb
• Susan Gail Wesson
• Shani West
• Deonna Lee Whatley, APRN, FNP-C
• Coral S White

• Physical Therapy Assistant in Prescott, AR
• Providers in Prescott, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.