Active NPI
Macie Watkins, DPT
- Physical Therapist
- Rockwall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2268 N Lake Shore Dr Ste 106
Rockwall, TX 75087-0280 - Phone
- (972) 979-6577
- Fax
- (972) 979-6951
- NPI assigned
- Feb 19, 2022
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2268 N Lake Shore Dr Ste 106
Rockwall, TX 75087-0280
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
10 William Pope Dr Ste 5
Bluffton, SC 29909-7550
Phone (843) 705-9440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10891 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
790 Remington Blvd
Bolingbrook, IL 60440
10 William Pope Dr
Ste 5
Bluffton, SC 29909
Phone (843) 705-9440
2600 May River Xing
Ste 200
Bluffton, SC 29910
Phone (843) 806-2240
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
2268 N Lake Shore Dr
Ste 106
Rockwall, TX 75087
Phone (214) 771-7960
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 4
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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- Ooltewah, TN
- NPI 1811213341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1811642671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2268 N LAKE SHORE DR STE 106",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750870280",
"telephone_number": "972-979-6577",
"fax_number": "972-979-6951"
}
],
"practiceLocations": [
{
"address_1": "10 William Pope Dr Ste 5",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "SC",
"postal_code": "299097550",
"country_code": "US",
"telephone_number": "843-705-9440",
"fax_number": "843-705-9445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "MACIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-19",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.