Susan Watkins, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300747 Issued in CA

Practice address

5995 Mira Mesa Blvd Ste H
San Diego, CA 92121-4305

Phone

(858) 371-2575

NPI assigned

May 22, 2020

Last updated

Oct 14, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Alpine Physical Therapy & Wellness Center, Inc

  • Physical Therapy Clinic/Center
  • Alpine, CA
  • NPI 1669576930
  Medicare reassignment NPD

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1609499870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 VIA CORINA",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012846",
            "telephone_number": "626-456-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 MIRA MESA BLVD STE H",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214305",
            "telephone_number": "858-371-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SUSAN",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300747",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Watkins, PA
• Katie Ann Watkins
• Nikki S Watkins, M.A., PSY.D.
• Pamela Jeanne Watkins, PSYD
• Shanelle Watkins
• Telah Watkins
• Jessica R Watrous, PH.D.
• Alexandria Watson, RBT
• Amanda Marie Watson, RN
• Audrey Elaine Watson, SUDRC

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.