Active NPI
Valerie J Watase, P.T.
- Physical Therapist
- Lafayette, CA
National Provider Identifier
1821100348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9724
- Practice address
- 3468 Mt Diablo Blvd
Suite B110
Lafayette, CA 94549-7105 - Phone
- (925) 284-6150
- Fax
- (925) 284-6155
- NPI assigned
- Aug 31, 2006
- 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 | PT9724 | CA | Primary |
Addresses
Primary practice location
3468 Mt Diablo Blvd
Suite B110
Lafayette, CA 94549-7105
Mailing address
3468 Mt Diablo Blvd
Suite B110
Lafayette, CA 94549-7105
Phone (925) 284-6150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9724 | CA | MD | Physical Therapist |
| 9724 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1821100348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3468 MT DIABLO BLVD",
"address_2": "SUITE B110",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945497105",
"telephone_number": "925-284-6150",
"fax_number": "925-284-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3468 MT DIABLO BLVD",
"address_2": "SUITE B110",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945497105",
"telephone_number": "925-284-6150",
"fax_number": "925-284-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATASE",
"first_name": "VALERIE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT9724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.