Kellie Watson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

61131989 Issued in WA

Practice address

510 E Holland Ave
Spokane, WA 99218-1206

Phone

(509) 363-3100

Fax

(509) 363-0300

NPI assigned

Mar 11, 2021

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• T Daniel Dibble MD PC

  dba Spine Team Spokane

  • Interventional Pain Medicine Physician
  • Spokane, WA
  • NPI 1346082344
  NPD
• T Daniel Dibble MD PC

  dba Spine Team Spokane

  • Interventional Pain Medicine Physician
  • Spokane Valley, WA
  • NPI 1780754499
  NPD
• Center for Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Spokane, WA
  • NPI 1477718492
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1538744529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "VERADALE",
            "state": "WA",
            "postal_code": "990370808",
            "telephone_number": "509-363-3100",
            "fax_number": "509-363-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E HOLLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181206",
            "telephone_number": "509-363-3100",
            "fax_number": "509-363-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 N Evergreen Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161138",
            "country_code": "US",
            "telephone_number": "509-363-3100",
            "fax_number": "509-363-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KELLIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61131989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Watling
• Alyssa Watson, DPT
• Brett Ryan Watson
• Brianne M Watson, REGISTERED NURSE
• Gwen Diann Watson, PT
• Kendall Watson
• Lisa Ann Watson, CCC-SLP
• Melissa Renee Watson
• Morgan Lynn Watson, MA, LMHC
• Shanice Watson

• Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.