Quinton Daniel Watson, PTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA28896 Issued in FL

Practice address

2100 E Hallandale Beach Blvd Ste 400
Hallandale Beach, FL 33009-3772

Phone

(786) 763-2272

NPI assigned

Nov 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Building Bones and Balance, LLC

  • Specialist
  • Hallandale Beach, FL
  • NPI 1043558075

  Single Specialty

  NPD

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1891330866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 400",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 400",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093772",
            "telephone_number": "786-763-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "QUINTON",
        "middle_name": "DANIEL",
        "credential": "PTA, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #4402)
• Angela Renee Walker-Gillis, D.C.
• War Network LLC
• Moriyah Warszawski
• Kerrian Watson
• WCRX Billing LLC
• Elliott B. Weinger, M.D.
• Wellco Med Corp.
• Wellness Center of NMB
• Wellness Companies of Florida Corp (Physical Therapy Now Aventura/Hallandale)

• Physical Therapy Assistant in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.