Active NPI
Angela M Watson, P.T.
- Occupational Therapist
- Dothan, AL
National Provider Identifier
1780656405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0225
- Practice address
- 345 Healthwest Dr
Dothan, AL 36303-2053 - Phone
- (334) 836-4523
- Fax
- (334) 673-0599
- NPI assigned
- Feb 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0225 | AL | Primary |
Addresses
Primary practice location
345 Healthwest Dr
Dothan, AL 36303-2053
Mailing address
251 Johnston St SE
Suite 300
Decatur, AL 35601-2516
Phone (256) 340-9706
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121682 | Medicaid | AL | |
| 511-09122 | Other | AL | BCBS OF ALABAMA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225 | AL | MD | Renal Nutrition Registered Dietitian |
| 0225 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1780656405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 JOHNSTON ST SE",
"address_2": "SUITE 300",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012516",
"telephone_number": "256-340-9706",
"fax_number": "256-340-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 HEALTHWEST DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363032053",
"telephone_number": "334-836-4523",
"fax_number": "334-673-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "0225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121682",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "511-09122",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.