Active NPI
Jeffrey Martin Watts, PT
- Specialist
- Rock Hill, SC
National Provider Identifier
1477946689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3002
- Practice address
- 1075 Bayshore Dr
Rock Hill, SC 29732-1569 - Phone
- (803) 329-4685
- NPI assigned
- Mar 12, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 3002 | SC | Primary |
Addresses
Primary practice location
1075 Bayshore Dr
Rock Hill, SC 29732-1569
Mailing address
1075 Bayshore Dr
Rock Hill, SC 29732-1569
Phone (803) 329-4685
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)
- Enrolled
Interoperability endpoints
- jeffrey.watts.1@7602.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1477946689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 BAYSHORE DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321569",
"telephone_number": "803-329-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 BAYSHORE DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321569",
"telephone_number": "803-329-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "JEFFREY",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "3002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.