Paul Osborne Watson, OTR/LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

5456 Issued in AL

Practice address

1394 S US Highway 231 Ste 1
Ozark, AL 36360-4412

Phone

(334) 443-1004

NPI assigned

Sep 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Massage Therapy of Ozark, LLC

  • Massage Therapist
  • Ozark, AL
  • NPI 1497531487
  NPD Authorized official

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1376791079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 S US HIGHWAY 231 STE 1",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363604412",
            "telephone_number": "334-618-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 S US HIGHWAY 231 STE 1",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363604412",
            "telephone_number": "334-443-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "PAUL",
        "middle_name": "OSBORNE",
        "name_prefix": "Mr.",
        "credential": "OTR/LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "5880",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "5456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Waddail, PT, DPT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Morgan Lynn Walker, M.S., OTR/L
• Tammy D. Wallace, O.D.
• Shawn Watts, MD
• Allie Webber, ALC
• John Whitehurst, BILLING PROVIDER
• Daphne Dufrene Wilde, MS, NCC, LPC
• Amanda Williams, M.E.D.-CCC-SLP

• Massage Therapist in Ozark, AL
• Providers in Ozark, AL by specialty
• Massage Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.