Individual provider Active NPI

Todd Allen Watson, DPT, OCS, FAAOMPT

  • Orthopedic Physical Therapist
  • Candler, NC
National Provider Identifier
1942389861
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
7917 Issued in NC
Practice address
1390 Sand Hill Rd
Suite 1
Candler, NC 28715-8938
Phone
(828) 418-1050
NPI assigned
Nov 2, 2006
Last updated
Aug 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 7917 NC
Orthopedic Physical Therapist 2251X0800X 7917 NC Primary

Addresses

Primary practice location

1390 Sand Hill Rd
Suite 1
Candler, NC 28715-8938

Mailing address

9 Caddis CT
Candler, NC 28715-6905
Phone (828) 665-1291

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7917NCMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Carepartners, Inc. Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1942389861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CADDIS CT",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287156905",
            "telephone_number": "828-665-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 SAND HILL RD",
            "address_2": "SUITE 1",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158938",
            "telephone_number": "828-418-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TODD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPT, OCS, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NC",
            "license": "7917",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "7917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Candler, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.