Individual provider Active NPI

Nyssa J Watkins, PT, DPT

  • Physical Therapist
  • East Lansing, MI
National Provider Identifier
1689160053
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018431 Issued in MI
Practice address
2700 E Lansing Dr
East Lansing, MI 48823-7754
Phone
(866) 902-4000
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018431 MI Primary

Addresses

Primary practice location

2700 E Lansing Dr
East Lansing, MI 48823-7754

Mailing address

2700 E Lansing Dr
East Lansing, MI 48823-7754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216001288 MI Practitioner - Physical Therapist in Private Practice 3870937964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Network - Rehabilitation ServicesGroup PAC ID 9234231440, 23 clinicians

Practice addresses (Care Compare)

2700 E Lansing Dr
East Lansing, MI 48823-7754
Phone (517) 332-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network - Rehabilitation Services Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

2700 E Lansing Dr
East Lansing, MI 48823
Phone 5173321616 ext. 16205

2775 E Lansing Dr
East Lansing, MI 48823

2701 E Lansing Dr
East Lansing, MI 48823

2711 E Lansing Dr
East Lansing, MI 48823
Phone (517) 332-6932

1490 E Beltline Ave SE
Grand Rapids, MI 49506

5990 Venture Park Dr
Kalamazoo, MI 49009
Phone (269) 492-7842

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1689160053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E LANSING DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E LANSING DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237754",
            "telephone_number": "866-902-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "NYSSA",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.