Individual provider Active NPI

David Andrew Watson, PT

  • Physical Therapist
  • Warwick, RI
National Provider Identifier
1427304476
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 02495 Issued in RI
Practice address
535 Centerville Rd
Suite 101
Warwick, RI 02886-4486
Phone
(401) 737-4581
Fax
(401) 737-4811
NPI assigned
Jul 27, 2012
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 02495 RI Primary

Addresses

Primary practice location

535 Centerville Rd
Suite 101
Warwick, RI 02886-4486

Mailing address

535 Centerville Rd
Suite 101
Warwick, RI 02886-4486
Phone (401) 737-4581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203000480 MA Practitioner - Physical Therapist in Private Practice 7618129388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Sports Therapy IncGroup PAC ID 6901708544, 13 clinicians

Practice addresses (Care Compare)

334 Littleton Rd
Suite 2
Westford, MA 01886-4124
Phone (978) 392-0483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 02495RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Sports Therapy, Inc. Physical Therapist CurrentSince Nov 13, 2024 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

71 Border Rd
Waltham, MA 02451
Phone (781) 487-9944

840 Winter St
Waltham, MA 02451
Phone (781) 487-9944

334 Littleton Rd
Westford, MA 01886
Phone (978) 392-0438

334 Littleton Rd
Ste 2
Westford, MA 01886
Phone (978) 392-0483

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1148/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1427304476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864486",
            "telephone_number": "401-737-4581",
            "fax_number": "401-737-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864486",
            "telephone_number": "401-737-4581",
            "fax_number": "401-737-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT 02495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.