Active NPI
Elizabeth Walsh, DPT
- Physical Therapist
- Aberdeen, WA
National Provider Identifier
1073229910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61384230
- Practice address
- 1006 N H St
Aberdeen, WA 98520-2521 - Phone
- (360) 537-6032
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61384230 | WA | Primary |
Addresses
Primary practice location
1006 N H St
Aberdeen, WA 98520-2521
Mailing address
6431 N Greenmont Rd
Peoria, IL 61614-3286
Phone (815) 814-5579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Robert Bush Dr
South Bend, WA 98586
Phone (360) 875-5543
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61384230 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabvisions Therapy Wa, LLC | Physical Therapist | Current | Accepting new patients |
| Washington Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- South Bend, WA
- NPI 1265823694
Physical Therapist
-
- Physical Therapy Clinic/Center
- South Bend, WA
- NPI 1861654824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1073229910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 N GREENMONT RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616143286",
"telephone_number": "815-814-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N H ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202521",
"telephone_number": "360-537-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61384230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.