MEDICARE: MANDY LYNN WATTS PT, DPT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT32013	FL
2	225100000X	Physical Therapist	PT32013	FL

General Provider Information

NPI Number	:	1467882126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANDY LYNN WATTS PT, DPT, ATC

Provider Business Mailing Address
First Line	:	4445 EASTGATE MALL STE 105
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-1979
Country	:	US
Telephone Number	:	185-877-5926
Fax Number	:	850-398-8482

Provider Business Practice Location Address
First Line	:	88 E BONITA RD STE C
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-3057
Country	:	US
Telephone Number	:	619-230-0855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2013
Last Update Date	:	08/09/2022

Similar Medicare Providers

1073290664 — NICOLE MALIA LINDSTROM
Practice Location Address:

88 E BONITA RD STE C
CHULA VISTA, CA
91910-3057

Practice Phone: 619-230-0855
Practice Fax:

1568537686 — DR. DONALD GARY GERKEN D.C.
Practice Location Address:

88 E BONITA RD STE E
CHULA VISTA, CA
91910-3057

Practice Phone: 619-422-3088
Practice Fax:

1295882330 — DR. MARIA LUISA CESICAR VALES D.M.D.
Practice Location Address:

88 E BONITA RD , SUITE F
CHULA VISTA, CA
91910-3057

Practice Phone: 619-427-2646
Practice Fax: 619-427-2642

1023132255 — DR. DIANE CHRISTINE GERKEN D.C.
Practice Location Address:

88 E BONITA RD STE E
CHULA VISTA, CA
91910-3057

Practice Phone: 619-422-3088
Practice Fax: 619-422-3988

1013031277 — GERKEN CHIROPRACTIC
Practice Location Address:

88 E BONITA RD STE E
CHULA VISTA, CA
91910-3057

Practice Phone: 619-422-3088
Practice Fax: 619-422-3988

1336407410 — MARIA LUISA C. VALES, D.M.D., INC.
Practice Location Address:

88 E BONITA RD STE F
CHULA VISTA, CA
91910-3057

Practice Phone: 619-427-2646
Practice Fax: 619-427-2642

Directions to “ MANDY LYNN WATTS PT, DPT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.