Active NPI
Trisha Ann Watson, PT
- Physical Therapist
- Olive Branch, MS
National Provider Identifier
1396617874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3211
- Practice address
- 4857 Goodman Rd
Olive Branch, MS 38654-7914 - Phone
- (662) 880-0006
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 3211 | MS | Primary |
Addresses
Primary practice location
4857 Goodman Rd
Olive Branch, MS 38654-7914
Mailing address
12038 Byhalia Rd
Byhalia, MS 38611-9825
Phone (662) 880-0006
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3211 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1396617874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12038 BYHALIA RD",
"city": "BYHALIA",
"state": "MS",
"postal_code": "386119825",
"telephone_number": "662-880-0006",
"fax_number": "855-595-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4857 GOODMAN RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547914",
"telephone_number": "662-880-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "TRISHA",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "3211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.