Individual provider Active NPI

Lisa Watson, DPT

  • Physical Therapist
  • Newberg, OR
National Provider Identifier
1851967806
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64110 Issued in OR
Practice address
120 N Everest St Ste C
Newberg, OR 97132-2116
Phone
(503) 538-8952
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64110 OR Primary

Addresses

Primary practice location

120 N Everest St Ste C
Newberg, OR 97132-2116

Mailing address

120 N Everest St Ste C
Newberg, OR 97132-2116
Phone (503) 538-8952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826000797 OR Practitioner - Physical Therapist in Private Practice 1557745486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chehalem Physical Therapy IncGroup PAC ID 2769455344, 9 clinicians

Practice addresses (Care Compare)

118 N Everest St
Newberg, OR 97132-2102
Phone (503) 538-8952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chehalem Physical Therapy, Inc. CurrentSince May 4, 2022 Accepting new patients
Pain Management Consultants, PC PastSince Jun 6, 2021 Accepting new patients

Locations

118 N Everest St
Newberg, OR 97132
Phone (503) 538-8952

120 N Everest St
Ste C
Newberg, OR 97132
Phone (503) 292-7005

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1851967806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EVEREST ST STE C",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322116",
            "telephone_number": "503-538-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EVEREST ST STE C",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322116",
            "telephone_number": "503-538-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.