Individual provider Active NPI

Heather Dale Walton, DPT, OCS

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1053623629
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206537 Issued in VA
Practice address
285 Hydraulic Ridge Rd
Suite 4
Charlottesville, VA 22901-8126
Phone
(434) 817-0980
Fax
(434) 817-0985
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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 2305206537 VA Primary

Addresses

Primary practice location

285 Hydraulic Ridge Rd
Suite 4
Charlottesville, VA 22901-8126

Mailing address

285 Hydraulic Ridge Rd
Suite 4
Charlottesville, VA 22901-8126
Phone (434) 817-0980

Other names 1

  • Dr. Heather M Dale Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000752 VA Practitioner - Physical Therapist in Private Practice 6305962887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albemarle Physical TherapyGroup PAC ID 0446351936, 9 clinicians

Practice addresses (Care Compare)

285 Hydraulic Ridge Rd
Charlottesville, VA 22901-8126
Phone (434) 817-0980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305206537VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physical Therapy Physical Therapist CurrentSince Jul 9, 2010 Accepting new patients

Locations

285 Hydraulic Ridge Rd
Ste 4
Charlottesvle, VA 22901
Phone (434) 817-0980

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1053623629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018126",
            "telephone_number": "434-817-0980",
            "fax_number": "434-817-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018126",
            "telephone_number": "434-817-0980",
            "fax_number": "434-817-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "HEATHER",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DALE",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DPT, OCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.