Active NPI
Natalia Johanna Waters
- Physical Therapy Assistant
- Monticello, FL
National Provider Identifier
1467381129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA26805
- Practice address
- 1656 S Jefferson St
Monticello, FL 32344-1652 - Phone
- (850) 997-7269
- NPI assigned
- May 18, 2026
- Last updated
- May 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 014259 | NY | |
| Physical Therapy Assistant | 225200000X | PTA26805 | FL | Primary |
| Physical Therapy Assistant | 225200000X | PRD-PTA-LIC-35127 | MT |
Addresses
Primary practice location
1656 S Jefferson St
Monticello, FL 32344-1652
Mailing address
4621 Deep Creek Ter
Parrish, FL 34219-2917
Phone (850) 218-2597
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 |
|---|---|---|---|
| PTA26805 | FL | MD | Physical Therapy Assistant |
| PRD-PTA-LIC-35127 | MT | MD | Physical Therapy Assistant |
| 014259 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1467381129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 DEEP CREEK TER",
"city": "PARRISH",
"state": "FL",
"postal_code": "342192917",
"telephone_number": "850-218-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 S JEFFERSON ST",
"city": "MONTICELLO",
"state": "FL",
"postal_code": "323441652",
"telephone_number": "850-997-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "NATALIA",
"middle_name": "JOHANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "014259",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA26805",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MT",
"license": "PRD-PTA-LIC-35127",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.