Malia A Watson, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020275-1 Issued in NY

Practice address

3125 E Main St
Endwell, NY 13760-5958

Phone

(607) 748-7369

Fax

(607) 748-4189

NPI assigned

Jan 14, 2009

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pullano Physical Therapy PLLCGroup PAC ID 2567453087, 5 clinicians

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.

• Pullano Physical Therapy, PLLC

  • Physical Therapist
  • Endwell, NY
  • NPI 1548320658
  Medicare reassignment Care Compare group NPD
• Chenango Bridge Physical Therapy, P.C.

  • Physical Therapist
  • Binghamton, NY
  • NPI 1538278437
  NPD

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1710124581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 E MAIN ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605958",
            "telephone_number": "607-748-7369",
            "fax_number": "607-748-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 E MAIN ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605958",
            "telephone_number": "607-748-7369",
            "fax_number": "607-748-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MALIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020275-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Villarreal, MSC., LMSW
• Thalia Vithoulkas, MS,RD,CDN
• Walgreen Co
• Taoran Wang, PHARMD
• Linda T Warren, R.N.
• Tricia Ann Webster, RN
• Brennan R Weppner
• Jessica Marie Wicks, LCSW
• Colleen Breen Williams, PT
• Jennie Williams, LPN

• Physical Therapist in Endwell, NY
• Providers in Endwell, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.