Individual provider Active NPI

Orlando V Walters, D.P.T.

  • Physical Therapist
  • Southwest Ranches, FL
National Provider Identifier
1073804894
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24946 Issued in FL
Practice address
5410 SW 148TH Ave
Southwest Ranches, FL 33330-2413
Phone
(954) 648-3977
NPI assigned
Apr 27, 2011
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24946 FL Primary
Massage Therapist 225700000X 43135 FL

Addresses

Primary practice location

5410 SW 148TH Ave
Southwest Ranches, FL 33330-2413

Mailing address

5410 SW 148TH Ave
Southwest Ranches, FL 33330-2413
Phone (954) 648-3977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229000734 FL Practitioner - Physical Therapist in Private Practice 1052599420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Testing Centers of America IncGroup PAC ID 3870488810, 4 clinicians

Practice addresses (Care Compare)

Pembroke Pines, FL 33026
Phone (954) 648-3977

10000 Stirling Rd
Suite 4
Hollywood, FL 33024-8067
Phone (954) 748-7474

6957 W Broward Blvd
Plantation, FL 33317-2917
Phone (954) 541-9455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24946FLMDPhysical Therapist
43135FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Testing Centers of America Inc. CurrentSince Sep 1, 2023 Accepting new patients
ER & DC McPherson Holdings LLC Physical Therapist CurrentSince Feb 12, 2021 Accepting new patients
USA Sports Medicine Broward Physical Therapist PastSince Nov 1, 2023 Accepting new patients
Physical Therapy Now Holdings, LLC Physical Therapist PastSince Feb 12, 2021 Accepting new patients
TCM Quality Services,Inc PastSince Jan 1, 2022 Accepting new patients

Locations

10000 Stirling Rd
Ste 1
Hollywood, FL 33024
Phone (954) 748-7474

10000 Stirling Rd
Ste 4
Hollywood, FL 33024
Phone (954) 748-7474

10000 Stirling Rd
Ste 4B
Hollywood, FL 33024
Phone (305) 613-4141

6957 W Broward Blvd
Plantation, FL 33317
Phone (954) 261-3280

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1073804894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 SW 148TH AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302413",
            "telephone_number": "954-648-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 SW 148TH AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302413",
            "telephone_number": "954-648-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ORLANDO",
        "middle_name": "V",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24946",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "43135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

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