Active NPI
Shontrell D Watt, OTR/L
- Occupational Therapist
- Plano, TX
National Provider Identifier
1871882316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 117362
- Practice address
- 3208 Thunderbird LN
Plano, TX 75075-2321 - Phone
- (972) 422-2214
- Fax
- (972) 424-2181
- NPI assigned
- Apr 5, 2011
- Last updated
- Sep 13, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 117362 | TX | Primary |
Addresses
Primary practice location
3208 Thunderbird LN
Plano, TX 75075-2321
Mailing address
3208 Thunderbird LN
Plano, TX 75075-2321
Phone (972) 422-2214
Other practice location 1
1513 N 2nd St
Memphis, TN 38107-1003
Phone (901) 272-2494
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117362 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swatt LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Rehabilitation Occupational Therapist
- Frisco, TX
- NPI 1295508679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1871882316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 THUNDERBIRD LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750752321",
"telephone_number": "972-422-2214",
"fax_number": "972-424-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 THUNDERBIRD LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750752321",
"telephone_number": "972-422-2214",
"fax_number": "972-424-2181"
}
],
"practiceLocations": [
{
"address_1": "1513 N 2nd St",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381071003",
"country_code": "US",
"telephone_number": "901-272-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATT",
"first_name": "SHONTRELL",
"middle_name": "D",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.