Active NPI
Neha Watts, OTR
- Occupational Therapist
- Springfield, MO
National Provider Identifier
1417365735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2016021025
- Practice address
- 1707 W Elfindale St
Springfield, MO 65807-1246 - Phone
- (417) 831-2273
- NPI assigned
- Jul 30, 2014
- Last updated
- May 20, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2016021025 | MO | Primary |
Addresses
Primary practice location
1707 W Elfindale St
Springfield, MO 65807-1246
Mailing address
1707 W Elfindale St
Springfield, MO 65807-1246
Phone (417) 831-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230907000931 | OK | Practitioner - Occupational Therapist in Private Practice | 7315301587 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5824 | OK | MD | General Practice Dentistry |
| 2016021025 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1417365735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 W ELFINDALE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658071246",
"telephone_number": "417-831-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 W ELFINDALE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658071246",
"telephone_number": "417-831-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "NEHA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2016021025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.