Individual provider Active NPI

Rolanda Walker, DPT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1013573690
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11450 South Broadway
Crown Point, IN 46307-7106
Phone
(219) 488-0157
Fax
(219) 661-2502
NPI assigned
May 19, 2019
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

11450 South Broadway
Crown Point, IN 46307-7106

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other names 1

  • Rolanda Pruitt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624001717 IN Practitioner - Physical Therapist in Private Practice 3173857265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

1407 S Lake Park Ave
A
Hobart, IN 46342-6635
Phone (219) 947-3637

1738 165TH St
Suite a
Hammond, IN 46320-2838
Phone (219) 844-1782

300 Ridge Rd
Munster, IN 46321-1528
Phone (219) 836-0027

755 Indian Boundary Rd
Suite B
Chesterton, IN 46304-1518
Phone (219) 255-1572

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Apr 19, 2019 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Apr 19, 2019 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 13, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Oct 13, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

13019 Wicker Ave
Ste A
Cedar Lake, IN 46303
Phone (219) 374-5451

755 Indian Boundary Rd
Ste B
Chesterton, IN 46304
Phone (219) 255-1572

11450 Broadway
Crown Point, IN 46307
Phone (219) 488-0157

906 N Main St
Crown Point, IN 46307
Phone (219) 213-7030

1100 Joliet St
Ste 105
Dyer, IN 46311
Phone (219) 864-3300

217 N Broad St
Griffith, IN 46319
Phone (219) 924-1500

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

7443 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 844-8100

1407 S Lake Park Ave
#A
Hobart, IN 46342
Phone (219) 947-3637

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

5178 Franklin St
Michigan City, IN 46360
Phone (219) 879-2523

221 W Day Rd
Mishawaka, IN 46545
Phone (574) 256-9420

300 Ridge Rd
Munster, IN 46321
Phone (219) 836-0027

6459 US Highway 6
Portage, IN 46368
Phone (219) 762-5592

202 W Ireland Rd
South Bend, IN 46614
Phone (574) 404-5069

3510 Portage Rd
South Bend, IN 46628
Phone (574) 203-9527

71 Silhavy Rd
Ste 121
Valparaiso, IN 46383
Phone (219) 462-0576

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1013573690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 SOUTH BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077106",
            "telephone_number": "219-488-0157",
            "fax_number": "219-661-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROLANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROLANDA",
            "last_name": "PRUITT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.