Individual provider Active NPI

Austen Watkins, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1407113053
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q0202 Issued in TX
Practice address
5632 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109-4149
Phone
(817) 336-7188
Fax
(844) 231-8865
NPI assigned
Apr 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Q0202 TX Primary

Addresses

Primary practice location

5632 Edwards Ranch Rd Ste 100
Fort Worth, TX 76109-4149

Mailing address

PO Box 678761
Dallas, TX 75267-8761
Phone (817) 336-7188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930001595 TX Practitioner - Physical Medicine and Rehabilitation 5092023739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Southwestern Medical School at Dallas, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5632 Edwards Ranch Rd
Suite 100
Fort Worth, TX 76109-4149
Phone (817) 336-7188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
PM&R Fort Worth Central PLLC Physical Medicine & Rehabilitation CurrentSince Dec 8, 2016 Accepting new patients
Austen M Watkins DO PA Physical Medicine & Rehabilitation CurrentSince Jun 25, 2015 Accepting new patients
PM&R Fort Worth Clearfork PLLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2025 Accepting new patients

Locations

5632 Edwards Ranch Rd
Ste 102
Fort Worth, TX 76109
Phone (817) 336-7188

5632 Edwards Ranch Rd
Ste 100
Ft Worth, TX 76109
Phone (817) 336-7188

800 8th Ave
Ste 506
Ft Worth, TX 76104
Phone (817) 336-7188

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1407113053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678761",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678761",
            "telephone_number": "817-336-7188",
            "fax_number": "817-335-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 EDWARDS RANCH RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094149",
            "telephone_number": "817-336-7188",
            "fax_number": "844-231-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "AUSTEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q0202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.