Active NPI
David R. Watkins, M.D.
- Physical Medicine & Rehabilitation Physician
- Louisville, KY
National Provider Identifier
1366416554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 19789
- Practice address
- 220 Abraham Flexner Way
Suite 500
Louisville, KY 40202-3826 - Phone
- (502) 584-3376
- Fax
- (502) 584-1385
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 19789 | KY | Primary |
Addresses
Primary practice location
220 Abraham Flexner Way
Suite 500
Louisville, KY 40202-3826
Mailing address
220 Abraham Flexner Way
Suite 500
Louisville, KY 40202-3826
Phone (502) 584-3376
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1049836 | Other | KY | PASSPORT |
| 2432689000 | Other | KY | PASSPORT ADVANTAGE |
| 000000048655 | Other | KY | ANTHEM |
| 64197890 | Medicaid | KY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19789 | KY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Associates, PSC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Louisville, KY
- NPI 1457325888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366416554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ABRAHAM FLEXNER WAY",
"address_2": "SUITE 500",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023826",
"telephone_number": "502-584-3376",
"fax_number": "502-584-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ABRAHAM FLEXNER WAY",
"address_2": "SUITE 500",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023826",
"telephone_number": "502-584-3376",
"fax_number": "502-584-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "DAVID",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "19789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1049836",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2432689000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000048655",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64197890",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.