Frank E Walters, PHD, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 2229 Issued in FL

Practice address

300 SE 17TH St
Ft Lauderdale, FL 33316-2550

Phone

(954) 831-2796

Fax

(954) 831-2790

NPI assigned

Mar 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043337884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 NW 101ST TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241061",
            "telephone_number": "954-831-2796",
            "fax_number": "954-831-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162550",
            "telephone_number": "954-831-2796",
            "fax_number": "954-831-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "FRANK",
        "middle_name": "E",
        "credential": "PHD, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 2229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Walsh, LCSW
• Elliana Walster
• Walt Noble Inc.
• Belinda June Walters, P.T.
• Fenisha Walters, PHARMD, MBA
• Jason Anthony Walters, M.D.
• Simone Walters
• Suzanne G Walters
• James Dexter Walton II, LCSW
• Samonik Walton

• Athletic Trainer in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.