Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Shannon Watson, PTA

Individual provider Physical Therapy Assistant · NPI 1508113754

Jessica Shannon Watson, PTA is a Physical Therapy Assistant in Lake City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

404 NW Hall Of Fame Dr
Lake City, FL 32055-4833
Phone: (386) 755-3163
Fax: (386) 755-3165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA22089 (FL)

Record details

NPI number1508113754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 7, 2012
Last updated in NPPESJune 28, 2026

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