Individual provider Active NPI

Katy Jo Watson, DPT

  • Physical Therapist
  • Rio Rancho, NM
National Provider Identifier
1356655351
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3953 Issued in NM
Practice address
2113 Golf Course Rd SE
Suite 106
Rio Rancho, NM 87124-1656
Phone
(505) 898-9700
Fax
(505) 898-8539
NPI assigned
Aug 2, 2010
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3953 NM Primary
Physical Therapist 225100000X 1197976 TX

Addresses

Primary practice location

2113 Golf Course Rd SE
Suite 106
Rio Rancho, NM 87124-1656

Mailing address

2113 Golf Course Rd SE
Suite 106
Rio Rancho, NM 87124-1656
Phone (505) 898-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000368 TX Practitioner - Physical Therapist in Private Practice 7012105059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6807 Emmett F Lowry Expy
Suite 103
Texas City, TX 77591-2543
Phone (409) 935-2840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3953NMMDPhysical Therapist
1197976TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Oct 20, 2014 Accepting new patients
Select Physical Therapy of Albuquerque LTD Physical Therapist PastSince Dec 30, 2011 Accepting new patients
Balanced Physical Therapy and Wellness, LLC Physical Therapist PastSince Dec 6, 2022 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients

Locations

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

6807 Emmett F Lowry Expy
Ste 103
Texas City, TX 77591
Phone (409) 935-2840

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1356655351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 GOLF COURSE RD SE",
            "address_2": "SUITE 106",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241656",
            "telephone_number": "505-898-9700",
            "fax_number": "505-898-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 GOLF COURSE RD SE",
            "address_2": "SUITE 106",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241656",
            "telephone_number": "505-898-9700",
            "fax_number": "505-898-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KATY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3953",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1197976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.