Organization Active NPI

Mitchell D. Watson in Motion Physical Therapy

  • Physical Therapist
  • Amarillo, TX
National Provider Identifier
1649495300
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
650750000 Issued in TX
Legal business name
MITCHELL D. WATSON IN MOTION PHYSICAL THERAPY
Practice address
3000 Blackburn St
Amarillo, TX 79109-1760
Phone
(806) 359-1414
NPI assigned
Apr 16, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mitchell Deane Watson, M.P.T.NPI 1922010875
Title
Physical Therapist
Phone
(806) 359-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 650750000 TX Primary

Addresses

Primary practice location

3000 Blackburn St
Amarillo, TX 79109-1760

Mailing address

3300 S Coulter St Ste 3-356
Amarillo, TX 79106-2721
Phone (806) 359-1414

Other identifiers 1

IdentifierTypeStateIssuer
1603052-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

3000 Blackburn St
Amarillo, TX 79109
Phone (806) 359-1414

3300 S Coulter St
Ste 3356
Amarillo, TX 79106

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1649495300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S COULTER ST STE 3-356",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062721",
            "telephone_number": "806-359-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BLACKBURN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091760",
            "telephone_number": "806-359-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL D. WATSON IN MOTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "DEANE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "806-359-1414",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "650750000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1603052-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.