Individual provider Active NPI

Lindsay Erin Watson, PT

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1760984819
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015810 Issued in MI
Practice address
22250 Providence Dr Ste 405
Southfield, MI 48075-6212
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 5501015810 MI Primary

Addresses

Primary practice location

22250 Providence Dr Ste 405
Southfield, MI 48075-6212

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326001228 MI Practitioner - Physical Therapist in Private Practice 5890035067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6199 Haggerty Rd
West Bloomfield, MI 48322-5001
Phone (248) 560-2505

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015810MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Nov 8, 2021 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC CurrentSince Mar 1, 2019 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Nov 8, 2021 Accepting new patients
Medical X-Ray Consultants, LTD Past Accepting new patients

Locations

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

23143 Woodward Ave
Ferndale, MI 48220
Phone (248) 268-5742

1432 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 543-4886

1501 N Milford Rd
Ste 201
Milford, MI 48381
Phone (248) 676-0666

26750 Providence Pkwy
#240
Novi, MI 48374
Phone (248) 349-7843

31372 Woodward Ave
Royal Oak, MI 48073
Phone (248) 591-4229

22250 Providence Dr
Ste 40
Southfield, MI 48075
Phone (248) 563-0306

22250 Providence Dr
Ste 401
Southfield, MI 48075
Phone (248) 349-7015

29275 Northwestern Hwy
Ste 150
Southfield, MI 48034
Phone (248) 351-6300

29900 Southfield Rd
Southfield, MI 48076
Phone (248) 663-0400

22250 Providence Dr
Ste 405
Southfield, MI 48075
Phone (248) 465-5140

1350 Kirts Blvd
Ste 120
Troy, MI 48084
Phone (248) 244-7927

8381 E 12 Mile Rd
Warren, MI 48093
Phone (586) 698-1999

5159 Highland Rd
Ste 100
Waterford, MI 48327

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

6199 Haggerty Rd
West Bloomfield, MI 48322
Phone (248) 560-2505

29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900

Organizations & group practices 5

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1760984819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 405",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756212",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LINDSAY",
        "middle_name": "ERIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.