Elisabeth Walsh, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-013882 Issued in AZ

Practice address

8765 W Kelton LN Ste 116
Peoria, AZ 85382-5008

Phone

(623) 977-4911

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pediatric Partners LLC

  dba Aspire Therapy

  • Speech-Language Pathologist
  • Peoria, AZ
  • NPI 1639245277
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1053997700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18228 W CANYON LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385103",
            "telephone_number": "513-315-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN STE 116",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825008",
            "telephone_number": "623-977-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ELISABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-013882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "walshe4@mail.uc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8765 W Kelton Ln Ste 116",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853825008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Walls, LCSW
• Walmart Inc. (Walmart Pharmacy 10-1533)
• Walmart Inc. (Walmart Pharmacy 10-3896)
• Walmart Inc. (WalMart Pharmacy 10-4275)
• Laura Ingram Walpole, DO
• Carli Nicole Walter, PA-C
• Jarvis Wayne Walters, DO
• Lynn A Wanderer-Potter, PA-C
• Li Wang
• Ping Y Wang, MD

• Physical Therapy Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.