Johnny Watkins Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017308 Issued in MI

Practice address

6012 South Linden Road
Unit 15 Monticello Center
Swartz Creek, MI 48473-8889

Phone

(810) 655-8244

Fax

(810) 655-2192

NPI assigned

Sep 8, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All-Pro Physical Therapy LLC

  • Physical Therapist
  • Rochester, MI
  • NPI 1285152421
  NPD (past)
• Genesys Integrated Group Practice PC

  • Nurse Practitioner
  • Flint, MI
  • NPI 1386782381
  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1669840740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 RUSTIC RIDGE TRL",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 SOUTH LINDEN ROAD",
            "address_2": "UNIT 15 MONTICELLO CENTER",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484738889",
            "telephone_number": "810-655-8244",
            "fax_number": "810-655-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JOHNNY",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VPH Pharmacy
• VPH Pharmacy
• VPH Pharmacy Inc.
• Daniel Waite, C.PED
• Robin Marie Wargo
• Stacy Kathlena West, AT, ATC
• Diane Marie Wick, PT
• Billy Williams
• Anquonda Wynne
• Richard Steven-Grow Young III, PHARMD

• Physical Therapist in Swartz Creek, MI
• Providers in Swartz Creek, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.