Individual provider Active NPI

James R. Watts, P.T.

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1356319222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4318 Issued in SC
Practice address
Moore Orthopaedic Clinic, P.a.
14 Medical Park Suite 200
Columbia, SC 29203
Phone
(803) 227-8009
Fax
(803) 227-8039
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4318 SC Primary

Addresses

Primary practice location

Moore Orthopaedic Clinic, P.a.
14 Medical Park Suite 200
Columbia, SC 29203

Mailing address

P.O. Box 843446
Healthtouch, LLC
Boston, MA 02284-3446
Phone (803) 227-8009

Other identifiers 1

IdentifierTypeStateIssuer
4318OtherSCPT LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001036 SC Practitioner - Physical Therapist in Private Practice 4486547783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Physical Therapy and Personal Training, LLCGroup PAC ID 2860789245, 8 clinicians

Practice addresses (Care Compare)

3250 Forest Dr
Suite 50
Columbia, SC 29204-4061
Phone (803) 726-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4318SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physical Therapy & Personal Training, LLC Physical Therapist CurrentSince Jul 25, 2016 Accepting new patients
Providence Orthopaedic Group LLC Past Accepting new patients

Locations

3250 Forest Dr
Ste 50
Columbia, SC 29204
Phone (803) 726-0309

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356319222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 843446",
            "address_2": "HEALTHTOUCH, LLC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843446",
            "telephone_number": "803-227-8009",
            "fax_number": "803-227-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOORE ORTHOPAEDIC CLINIC, P.A.",
            "address_2": "14 MEDICAL PARK SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-227-8009",
            "fax_number": "803-227-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JAMES",
        "middle_name": "R.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "4318",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.