Mitchell Deane Watson, OWNER

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1138253 Issued in TX

Practice address

3000 Blackburn St
Amarillo, TX 79109-1760

Phone

(806) 359-1414

Fax

(806) 359-1517

NPI assigned

Aug 12, 2006

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

Other identifiers 1

Other names 1

• Mitchell Deane Watson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mitchell D. Watson in Motion Physical Therapy

  • Physical Therapist
  • Amarillo, TX
  • NPI 1649495300
  NPD (past) Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1922010875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 CERVIN DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211206",
            "telephone_number": "806-467-1115",
            "fax_number": "806-359-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BLACKBURN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091760",
            "telephone_number": "806-359-1414",
            "fax_number": "806-359-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MITCHELL",
        "middle_name": "DEANE",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1138253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160306001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITCHELL",
            "last_name": "WATSON",
            "middle_name": "DEANE",
            "credential": "OWNER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Watson P Roye MD PA
• Aaron Watson, MAT, ATC, LAT
• Bethany Watson, MS OTR/L
• Elizabeth Watson
• Juliana Watson
• Ryan Keith Watson, LPC
• Sandy Watson, L.P.C.
• Stacy Ailine Watson, M.D.
• Janet Watts, MA LPC
• Lyndsi Watts, M.S.CCC-SLP

• Physical Therapist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.