Tessa Walter

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

371 Old Farms Road
Wilkesboro, NC 28697

Phone

(336) 262-0109

NPI assigned

Apr 22, 2011

Sex

Female

Sole proprietor

Yes

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.

• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325
  Medicare reassignment Care Compare group NPD NC · PHYSICAL THERAPIST
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Roxboro, NC
  • NPI 1245014380
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Outpatient Rehabilitation Services LLC 199 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NC

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2011.

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1063703247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 OLD FARMS ROAD",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "28697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 OLD FARMS ROAD",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "28697",
            "telephone_number": "336-262-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "TESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Riley Wagoner, PTA
• Wake Forest Baptist Health Care at Home, LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walmart Pharmacy
• Brandon Ward, NP
• Kendra Pearl Watts, FNP
• Brooke Welborn
• Stephen J Wessels, DMD, PA
• Wilkes County Adult Care, Inc

• All providers in Wilkesboro, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.