Maritza Waugh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25814 Issued in FL

Practice address

6801 Dixie Hwy Ste 129
Louisville, KY 40258-3944

Phone

(340) 714-2845

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1861760621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 LAWRENCE BANET RD",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583944",
            "telephone_number": "340-714-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "MARITZA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaydra Jean Watts, COSMETOLOGIST
• Nic Ole Rishele Watts
• Quanyea Watts
• Shane Mark Watts, APRN, PMHNP-BC
• David Neal Waugh, DMD
• Amanda Kay Waun, P.T.A.
• Andrew Way, DMD
• Gregory Allen Way II
• Rachel Way, APRN
• Scott A Way, PT

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.