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Deactivated NPI 1649667783 Deactivated / Inactive NPI Female Practitioner

Therese Ellen Watson , PTA

Specialist/Technologist, Pathology • Federal Way, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Therese Watson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 15, 2015
NPI Deactivation Date June 30, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

Therese Watson, PTA was a registered Specialist/Technologist, Pathology practicing in Federal Way, WA. Throughout an active medical career spanning 5 years, Therese Watson provided care at the practice location at 1010 S 336TH ST until profile deactivation on 2020-06-30.

Practice Location & Contact Primary Location

Practice Address

1010 S 336th St
Suite 210

Federal Way, WA 980036385

Telephone 8668358091
Fax 8888357102
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Pathology in Federal Way, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Federal Way, WA (7 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist, Pathology Primary Specialty

NUCC Taxonomy Code: 246Q00000X

(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tiari Degraw , PTA

Physical Therapy Assistant

NPI 1003021569

Physical Therapist Assistant

Holly Frattaroli , COTA, L

Occupational Therapy Assistant

NPI 1003198490

Certified Occupational Therapy Assistant, L

Beverly Beste

Occupational Therapy Assistant

NPI 1013278530
Cheryl Ramadan-Jradi

Occupational Therapist

NPI 1023375326
Christine Withers , PTA

Physical Therapy Assistant

NPI 1023387099

Physical Therapist Assistant

Katie Gustavson

Occupational Therapist

NPI 1033497854

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated June 30, 2020

Record deactivated on June 30, 2020

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2018

Physical Therapy Assistant (License #07498 in OR)

NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 15, 2015

Registered at 1010 S 336TH ST, SUITE 210, FEDERAL WAY, WA 980036385 (Tel: 8668358091)

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Updated Business Mailing Address April 15, 2015

Registered at 737 ELGAROSE RD, ROSEBURG, OR 974719037 (Tel: 5417848951)

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Provider Name / Credentials Updated April 15, 2015

Recorded as THERESE WATSON, PTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

Specialist/Technologist, Pathology

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Initial NPI Registration & Enumeration April 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649667783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2015
Last Update: April 15, 2015
Deactivation Date: June 30, 2020

Mailing Address

737 Elgarose Rd

Roseburg, OR 974719037

Phone: 5417848951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.