Active NPI
Laura E Watkins, PTA
- Physical Therapy Assistant
- Penney Farms, FL
National Provider Identifier
1588272330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA22710
- Practice address
- 3 Pavillion Place
Penney Farms, FL 32079 - Phone
- (904) 297-9763
- Fax
- (855) 232-8604
- NPI assigned
- Jul 17, 2020
- Last updated
- Jul 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA22710 | FL | Primary |
Addresses
Primary practice location
3 Pavillion Place
Penney Farms, FL 32079
Mailing address
3 Pavillion Place
Penny Farms, FL 32079
Phone (888) 531-2204
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 |
|---|---|---|---|
| PTA22710 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1588272330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PAVILLION PLACE",
"city": "PENNY FARMS",
"state": "FL",
"postal_code": "32079",
"telephone_number": "888-531-2204",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PAVILLION PLACE",
"city": "PENNEY FARMS",
"state": "FL",
"postal_code": "32079",
"telephone_number": "904-297-9763",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "LAURA",
"middle_name": "E",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA22710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penney Farms, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.