Kathleen C Watson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT004441 Issued in GA

Practice address

3105 Creekside Village Dr NW
Ste 603
Kennesaw, GA 30144-2394

Phone

(770) 974-2424

Fax

(866) 384-6451

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

No

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.

• Dynamic Therapy Associates, Inc

  • Speech-Language Pathologist
  • Kennesaw, GA
  • NPI 1750359808
  NPD (past)
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Moorestown, NJ
  • NPI 1366716565
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1679736771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 CREEKSIDE VILLAGE DR NW",
            "address_2": "STE 603",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442394",
            "telephone_number": "770-974-2424",
            "fax_number": "866-384-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CREEKSIDE VILLAGE DR NW",
            "address_2": "STE 603",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442394",
            "telephone_number": "770-974-2424",
            "fax_number": "866-384-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KATHLEEN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwanza Washington, FNP-C
• Renete Washington, LPC, LMHC
• Tylyn Washington, RBT
• Sharon Y Waters, M.D.
• Robert Waterstone, D.C.
• Samantha Watson
• Teresa Watson
• Stephanie Watts, OTR
• Pauline Waweru, LPC
• Waypoint Psychotherapy LLC

• Occupational Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.