Active NPI
Meredith Nicole Watson, PT
- Physical Therapist
- El Dorado, AR
National Provider Identifier
1639329600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3082
- Practice address
- 214 Hope Landing Rd
El Dorado, AR 71730-8725 - Phone
- (870) 862-0500
- Fax
- (870) 862-2100
- NPI assigned
- Sep 25, 2008
- Last updated
- Sep 25, 2008
- 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 Therapist | 225100000X | 3082 | AR | Primary |
Addresses
Primary practice location
214 Hope Landing Rd
El Dorado, AR 71730-8725
Mailing address
PO Box 10215
El Dorado, AR 71730-0045
Phone (870) 862-0500
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 |
|---|---|---|---|
| 3082 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Landing, Inc. | Past | Accepting new patients | |
| Hope Landing, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Assistant
- El Dorado, AR
- NPI 1487851937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1639329600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10215",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717300045",
"telephone_number": "870-862-0500",
"fax_number": "870-862-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 HOPE LANDING RD",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717308725",
"telephone_number": "870-862-0500",
"fax_number": "870-862-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MEREDITH",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "3082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.