Kolby Allen Watts, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006276 Issued in KY

Practice address

100 Highway 15 S Ste 136
Jackson, KY 41339-8636

Phone

(606) 693-9644

Fax

(606) 693-9643

NPI assigned

Sep 11, 2013

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

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Kentucky College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Watts Healthcare Solutions PLLC

  • Physical Therapist
  • Jackson, KY
  • NPI 1730703729
  Medicare reassignment NPD Authorized official
• Jamco of Ky. Inc.

  • Physical Therapist
  • Jackson, KY
  • NPI 1265658314
  NPD

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1699100545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 15 S STE 136",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398636",
            "telephone_number": "606-693-9644",
            "fax_number": "606-693-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 15 S STE 136",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398636",
            "telephone_number": "606-693-9644",
            "fax_number": "606-693-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KOLBY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visionary Rehabilitation Services, LLC
• Visionary Therapy Center, LLC
• Wal-Mart Stores East LP
• Walgreen Co
• Watts Healthcare Solutions PLLC
• Rebecca Lee Watts, PT, DPT
• James B West, PA-C
• Western Healthcare Services Kentucky LLC
• Whitaker National Corporation
• Charles Derrick Whitaker, DPT

• Physical Therapist in Jackson, KY
• Providers in Jackson, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.