Active NPI
Quentin V Watne, P.T.
- Physical Therapist
- McMinnville, OR
National Provider Identifier
1992853642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5065
- Practice address
- 2191 NW 2ND St # 4
McMinnville, OR 97128-9108 - Phone
- (503) 434-9594
- Fax
- (503) 434-6808
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5065 | OR | Primary |
Addresses
Primary practice location
2191 NW 2ND St # 4
McMinnville, OR 97128-9108
Mailing address
2191 NW 2ND St # 4
McMinnville, OR 97128-9108
Phone (503) 434-9594
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 |
|---|---|---|---|
| 5065 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nora M Collins, Inc | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- McMinnville, OR
- NPI 1164576831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992853642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 NW 2ND ST # 4",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971289108",
"telephone_number": "503-434-9594",
"fax_number": "503-434-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 NW 2ND ST # 4",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971289108",
"telephone_number": "503-434-9594",
"fax_number": "503-434-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATNE",
"first_name": "QUENTIN",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.