Matthew Lyle Walker, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1718 Issued in ID

Practice address

2321 E Gala St
Suite 1
Meridian, ID 83642-4881

Phone

(208) 888-4321

Fax

(208) 895-8747

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DM Management PC

  dba One on One Physical Therapy

  • Physical Therapy Clinic/Center
  • Meridian, ID
  • NPI 1336102318
  NPD (past) Authorized official
• Key Stone Health Care

  • Gerontology Nurse Practitioner
  • Eagle, ID
  • NPI 1932520640
  NPD
• Keystone Hospice, LLC

  • Community Based Hospice Care Agency
  • Eagle, ID
  • NPI 1427421114
  NPD
• ZRJ Inc

  dba Idaho Spine & Sports Physical Therapy

  • Physical Therapist
  • Boise, ID
  • NPI 1639365323
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003831249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST",
            "address_2": "SUITE 1",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424881",
            "telephone_number": "208-888-4321",
            "fax_number": "208-895-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST",
            "address_2": "SUITE 1",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424881",
            "telephone_number": "208-888-4321",
            "fax_number": "208-895-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MATTHEW",
        "middle_name": "LYLE",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010148919",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO PROV",
            "identifier": "TA914",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #10197)
• Alisse Walker, DPT
• Jerri S. Walker, LMHC
• Kendall Elyse Walker, RDH
• Keyona Walker
• Noah B Walker, FNP-C
• Tera Elizabeth Walker
• Zuleikah Walker
• Melissa Wall
• Shanell Wallentine, LPC

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.