Joseph Williams Waterman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42138 Issued in CA

Practice address

3455 Edison Way
Menlo Park, CA 94025-1813

Phone

(650) 364-2509

NPI assigned

Aug 13, 2010

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Remedy Medical Group

  • Interventional Pain Medicine Physician
  • San Mateo, CA
  • NPI 1952601353
  NPD (past)

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1780999771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 FELL ST APT C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025001",
            "telephone_number": "404-273-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 EDISON WAY",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251813",
            "telephone_number": "650-364-2509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 N Sheffield Ave",
            "address_2": "Room 120",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606143621",
            "country_code": "US",
            "telephone_number": "773-545-4966",
            "fax_number": "773-525-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wenjia Wang
• Melinda Sue Ward, ASW
• Thomas G Warden, D.D.S.
• Jennifer Ann Warner, D.P.T.
• Hanan Wasse
• Watson and Matles, PC (MD2 Menlo Park)
• Leigh Dickerson Watson, PH.D.
• Sarah Watson, MD
• Katherine Webb, L.C.S.W.
• Laura Marie Webb, MD

• Physical Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.