Jean Ann Watts, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-006929 Issued in IL

Practice address

1504 13TH Ave
Moline, IL 61265-3113

Phone

(309) 762-9552

Fax

(309) 762-9610

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jean Ann Herzfeldt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Children's Therapy Center of the Quad Cities

  • Speech-Language Pathologist
  • Rock Island, IL
  • NPI 1003991217

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261180800000",
    "number": "1952488876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504-13TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-762-9552",
            "fax_number": "309-762-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 13TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653113",
            "telephone_number": "309-762-9552",
            "fax_number": "309-762-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-006929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "HERZFELDT",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ginger Ward, RN, BSN-BC
• Jean E Wardlow, MD
• Kareem Washington
• Jessica Lynn Wasson, ARNP-CNP
• Heidi J Watkins, RN
• Wayne Davis Chiropractic Inc
• Eileen Marie Wayne, MD
• Kristin Kincaide Weaver, DPT
• Cantrese Marchay Webb-Barradas-Atta, DC
• Julie A Weger, PHD

• Occupational Therapist in Moline, IL
• Providers in Moline, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2009; 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.