Active NPI
Benjamin Harrison Watson, DPT
- Physical Therapist
- Salisbury, NC
National Provider Identifier
1801343652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15921
- Practice address
- 1704 W Innes St
Salisbury, NC 28144-2552 - Phone
- (704) 633-4606
- Fax
- (704) 633-5991
- NPI assigned
- Sep 8, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P15921 | NC | Primary |
Addresses
Primary practice location
1704 W Innes St
Salisbury, NC 28144-2552
Mailing address
906 Mebane Oaks Rd
Mebane, NC 27302-7951
Phone (919) 563-1825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G76542 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1801343652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 MEBANE OAKS RD",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027951",
"telephone_number": "919-563-1825",
"fax_number": "919-563-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 W INNES ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442552",
"telephone_number": "704-633-4606",
"fax_number": "704-633-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "BENJAMIN",
"middle_name": "HARRISON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G76542",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.