Individual provider Active NPI

David Lee Watkins, PTA

  • Physical Therapy Assistant
  • New Orleans, LA
National Provider Identifier
1457766586
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A4091 Issued in LA
Practice address
714 Dublin St
New Orleans, LA 70118-1022
Phone
(504) 861-4693
Fax
(504) 865-8379
NPI assigned
Jun 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A4091 LA Primary

Addresses

Primary practice location

714 Dublin St
New Orleans, LA 70118-1022

Mailing address

714 Dublin St
New Orleans, LA 70118-1022
Phone (504) 861-4693

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

LicenseStateTypeSpecialty
A4091LAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lovin' Life Physical Therapy. LLC PastSince May 22, 2022 Accepting new patients
Orthopaedic Physical Therapy of New Orleans L L C PastSince Oct 1, 2016 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1457766586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181022",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 DUBLIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181022",
            "telephone_number": "504-861-4693",
            "fax_number": "504-865-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A4091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.