Susan Marie Watters, OTR/L

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

00001557 Issued in WA

Practice address

18107 Bothell Way NE
Suite # 106
Bothell, WA 98011-1900

Phone

(425) 487-3142

NPI assigned

Apr 28, 2009

Sex

Female

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

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.

• Avamere Outpatient Services, LLC

  • Physical Therapist
  • Bothell, WA
  • NPI 1710151311
  NPD (past)
• Northshore Physical Therapy

  • Physical Therapist
  • Bothell, WA
  • NPI 1548460090
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1982848487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 NE 170TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980116700",
            "telephone_number": "425-485-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18107 BOTHELL WAY NE",
            "address_2": "SUITE # 106",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111900",
            "telephone_number": "425-487-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "WA",
            "license": "00001557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie C Washington, MA
• Garland Wat, DC
• Crystal Marie Waters
• Christopher Lee Watson
• Michelle Watson, PHARMD
• Kelli Wax, RN
• Lily Webb, RN
• Anastasia Weber
• Tani Mae Weber, RDH
• Michelle Weible, BCBA, LBA

• Neurorehabilitation Occupational Therapist in Bothell, WA
• Providers in Bothell, WA by specialty
• Neurorehabilitation Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.