Individual provider Active NPI

Amanda Watson, DPT

  • Physical Therapist
  • Midlothian, VA
National Provider Identifier
1710455357
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214287 Issued in VA
Practice address
2436 Colony Crossing PL
Midlothian, VA 23112-4281
Phone
(804) 918-8515
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60880421 WA
Physical Therapist 225100000X PTL25315 MA
Physical Therapist 225100000X 2305214287 VA Primary

Addresses

Primary practice location

2436 Colony Crossing PL
Midlothian, VA 23112-4281

Mailing address

2436 Colony Crossing PL
Midlothian, VA 23112-4281
Phone (804) 918-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190904001145 WA Practitioner - Physical Therapist in Private Practice 4183953904 Reassigns benefits to 1 organization
I20210610002209 VA Practitioner - Physical Therapist in Private Practice 4183953904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Rehabilitation Network LLCGroup PAC ID 3779588256, 31 clinicians

Practice addresses (Care Compare)

2436 Colony Crossing PL
Suite 2
Midlothian, VA 23112-4281
Phone (804) 270-7754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Jul 3, 2019 Accepting new patients
Progress Rehabilitation Network LLC Physical Therapist CurrentSince Jan 27, 2021 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Jul 3, 2019 Accepting new patients
Progress Rehabilitation Network, LLC Physical Therapist PastSince Jan 27, 2021 Accepting new patients

Locations

5300 Hickory Park Dr
Ste 110
Glen Allen, VA 23059
Phone (804) 270-7754

2436 Colony Crossing Pl
Ste 2
Midlothian, VA 23112
Phone (804) 270-7754

3001 Hungary Spring Rd
Ste D
Richmond, VA 23228
Phone (804) 756-8490

945 Hildebrand Ln NE
Ste 220
Bainbridge Island, WA 98110
Phone (206) 842-6288

19319 7th Ave NE
Ste 100
Poulsbo, WA 98370
Phone (360) 297-7050

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 4

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1710455357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124281",
            "telephone_number": "804-918-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124281",
            "telephone_number": "804-918-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60880421",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL25315",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.