Active NPI
Teresa Christine Watts, M.P.T.
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1659646537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3983
- Practice address
- 250 E Dunlap Ave
Phoenix, AZ 85020-2825 - Phone
- (602) 879-6060
- NPI assigned
- Mar 12, 2012
- 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 | 3983 | AZ | Primary |
Addresses
Primary practice location
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Mailing address
PO Box 12283
Glendale, AZ 85318-2283
Phone (602) 250-1360
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 |
|---|---|---|---|
| 3983 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1659646537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12283",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853182283",
"telephone_number": "602-250-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E DUNLAP AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202825",
"telephone_number": "602-879-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "TERESA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.