Michaela J Watson, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

430 NW Island Cir
Apt B5
Beaverton, OR 97006-8363

Phone

(402) 417-5249

NPI assigned

Jan 21, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Hand Therapy, P.C.Group PAC ID 6901088020, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Canyon Hand Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Cody, WY
  • NPI 1639476443
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1558509083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 COUNTY ROAD 17",
            "city": "CERESCO",
            "state": "NE",
            "postal_code": "680174041",
            "telephone_number": "402-417-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NW ISLAND CIR",
            "address_2": "APT B5",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068363",
            "telephone_number": "402-417-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MICHAELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waterhouse Family Dental, Inc.
• Nathaniel Watley
• Carlotta F Watson, N.D.
• Emily Hooi Watson, MD
• Jamie Lynn Watson
• Sarah Danielle Watson, QMHA
• Staci Watson, MS
• Tamara Corrine Marie Watson
• Brinnley Watts
• Zoey Watts, BCBA

• Occupational Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.