Mary Katherine Walker, M.P.T. – Physical Therapist

Key facts

NPI: 1003966417
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: PT8312 (GA)
Practice address: 1801 Gadsden Hwy
Birmingham, AL 35235-3134
Phone: (205) 228-7600
Fax: (205) 639-0990
NPI assigned: Jan 11, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

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.

Elite Sport & Spine Physical Therapy, Inc. Physical Therapist · Hawkinsville, GA · NPI 1518985282

NPD (past) PHYSICAL THERAPIST
Peachtree Orthopaedic Clinic PA Orthopaedic Surgery Physician · Atlanta, GA · NPI 1811912611

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PT8312	GA	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Elite Sport & Spine Physical Therapy, Inc.	Physical Therapist	Past	Accepting new patients
Peachtree Orthopaedic Clinic PA	Physical Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	PT8312	GA	Yes

Addresses

Primary practice location

1801 Gadsden Hwy
Birmingham, AL 35235-3134

Mailing address

105 Sycamore PL
Apt 410a
Decatur, GA 30030-1938

Other practice location 1

118 Mars Hill Rd
Hoover, AL 35244-3904
Phone (205) 228-7600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2024.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1003966417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SYCAMORE PL",
            "address_2": "APT 410A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353134",
            "telephone_number": "205-228-7600",
            "fax_number": "205-639-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Mars Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352443904",
            "country_code": "US",
            "telephone_number": "205-228-7600",
            "fax_number": "205-639-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT8312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

All providers in Birmingham, AL · Physical Therapist in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.