Chrisean J Waters

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2186165 Issued in TX

Practice address

8267 Elmbrook Dr Ste 100
Dallas, TX 75247-4051

Phone

(323) 378-4403

NPI assigned

Nov 22, 2024

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1538985601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 MARSH LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064957",
            "telephone_number": "323-378-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8267 ELMBROOK DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474051",
            "telephone_number": "323-378-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CHRISEAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2186165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waters Chiropractic Clinic, Inc
• Waters Family Chiropractic PC
• Ami E Waters, MD
• Cara Leigh Waters, LPC-A
• Caroline Waters
• Cole Braxton Waters, MS
• Gina Waters, CPNP
• Hadley Lewis Waters, PT
• Lindsay Leigh Waters, M.D.
• Melissa Ann Waters, M.D.

• Physical Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.