Individual provider Active NPI

Andrew Jason Watzl, MPT

  • Physical Therapist
  • Midland, TX
National Provider Identifier
1760684328
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1146350 Issued in TX
Practice address
4304 Andrews Hwy
Midland, TX 79703-4824
Phone
(432) 559-8517
NPI assigned
Jun 4, 2007
Last updated
Jul 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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 1146350 TX Primary

Addresses

Primary practice location

4304 Andrews Hwy
Midland, TX 79703-4824

Mailing address

PO Box 80700
Midland, TX 79708-0700
Phone (432) 559-8517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Texas Orthopedic Group Inc Past Accepting new patients
RG2 P C Physical Therapist Past Accepting new patients
West Texas Orthopedics LLP Past Accepting new patients

Organizations & group practices 3

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1760684328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80700",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797080700",
            "telephone_number": "432-559-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034824",
            "telephone_number": "432-559-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATZL",
        "first_name": "ANDREW",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1146350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.