Watson Chiropractic & PT Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010239 Issued in PA

Legal business name

WATSON CHIROPRACTIC & PT CLINIC PLLC

Practice address

1501 N Broad St
17
Philadelphia, PA 19122-3319

Phone

(215) 232-1919

Fax

(215) 232-0199

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ernest WatsonNPI 1508179532

Title

Chiropractor

Phone

(215) 232-1919

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernest A Watson Jr., D.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1508179532
  Authorized official Same address or phone

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1801152293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N BROAD ST",
            "address_2": "17",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223319",
            "telephone_number": "215-232-1919",
            "fax_number": "215-232-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BROAD ST",
            "address_2": "17",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223319",
            "telephone_number": "215-232-1919",
            "fax_number": "215-232-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON CHIROPRACTIC & PT CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-232-1919",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Thomas Watkins, DO
• Michael Antoine Watkins, MS, LAT, ATC
• Sheree L Watkins, DOULA
• Sybil Elizabeth Watkins, MD
• Tashanda Watkins
• Watson Comfort Care LLC
• Watson Health & Development Group LLC
• Alyssa Watson-Banks
• Stephanie Jean Watson-Drayton, LCSW
• Alison Blair Huggins Watson, M.D.

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.