Active NPI
Bethany Watson, MS OTR/L
- Occupational Therapist
- Amarillo, TX
National Provider Identifier
1700184827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111015
- Practice address
- 5601 Plum Creek Dr
Amarillo, TX 79124-1801 - Phone
- (772) 913-1123
- NPI assigned
- Mar 14, 2011
- Last updated
- Mar 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111015 | TX | Primary |
| Occupational Therapist | 225X00000X | 1658 | NH |
Addresses
Primary practice location
5601 Plum Creek Dr
Amarillo, TX 79124-1801
Mailing address
5601 Plum Creek Dr
Amarillo, TX 79124-1801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111015 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Ma LLC | Occupational Therapist | Current | Accepting new patients |
Locations
303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577
7 Carnegie Plz
Cherry Hill, NJ 08003
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1700184827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 PLUM CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791241801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 PLUM CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791241801",
"telephone_number": "772-913-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "BETHANY",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111015",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1658",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.