Active NPI
Kathryn Darlene Watkins, COTA/L
- Occupational Therapy Assistant
- Cordova, TN
National Provider Identifier
1962668939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 608
- Practice address
- 955 Germantown Pkwy
Cordova, TN 38018 - Phone
- (901) 754-1393
- Fax
- (901) 751-9799
- NPI assigned
- Jul 30, 2008
- 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 Therapy Assistant | 224Z00000X | 608 | TN | Primary |
Addresses
Primary practice location
955 Germantown Pkwy
Cordova, TN 38018
Mailing address
3625 Whitehill Drive
Bartlett, TN 38135
Phone (901) 210-3212
Other names 1
- Kathryn Darlene Rees
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 |
|---|---|---|---|
| 608 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1962668939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 WHITEHILL DRIVE",
"city": "BARTLETT",
"state": "TN",
"postal_code": "38135",
"telephone_number": "901-210-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 GERMANTOWN PKWY",
"city": "CORDOVA",
"state": "TN",
"postal_code": "38018",
"telephone_number": "901-754-1393",
"fax_number": "901-751-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "KATHRYN",
"middle_name": "DARLENE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TN",
"license": "608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "REES",
"middle_name": "DARLENE",
"credential": "COTA/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.