Andrea Rose Watson, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017425 Issued in GA

Practice address

3615 Braselton Hwy
Suite 101
Dacula, GA 30019-5906

Phone

(770) 904-0772

Fax

(770) 904-0774

NPI assigned

Aug 7, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gainesville Physical Therapy LLCGroup PAC ID 3971520271, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gainesville Physical Therapy LLC

  • Physical Therapist
  • Gainesville, GA
  • NPI 1649308156
  Medicare reassignment Care Compare group NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1790064822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 BRASELTON HWY",
            "address_2": "SUITE 101",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195906",
            "telephone_number": "770-904-0772",
            "fax_number": "770-904-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 BRASELTON HWY",
            "address_2": "SUITE 101",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195906",
            "telephone_number": "770-904-0772",
            "fax_number": "770-904-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANDREA",
        "middle_name": "ROSE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-07",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "017425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocilli Walton
• Alyssa Walz
• Daren C Wannamaker, DO
• Mary Carly Warbington, OTR/L
• Jeremy Robert Ward, DMD
• Natanyah Watson, M.B.A. HM, B.S. MLS
• Lori Darnelle Weeks, NP
• Travis Weinsheim
• Samantha Weiss, MS, CCC-SLP
• Jamie Ann Wells

• Physical Therapist in Dacula, GA
• Providers in Dacula, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.