Individual provider Active NPI

Nikiah Rose Walker, PT DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1083217541
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028643 Issued in PA
Practice address
19 W Highland Avenue
Philadelphia, PA 19118-4034
Phone
(215) 383-1660
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 PT028643 PA Primary

Addresses

Primary practice location

19 W Highland Avenue
Philadelphia, PA 19118-4034

Mailing address

145 W Sharpnack St
Philadelphia, PA 19119-4034
Phone (267) 990-9013

Other practice location 1

145 W Sharpnack St
Philadelphia, PA 19119-4034
Phone (267) 990-9013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT028643PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1083217541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W SHARPNACK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191194034",
            "telephone_number": "267-990-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W HIGHLAND AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184034",
            "telephone_number": "215-383-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 W Sharpnack St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191194034",
            "country_code": "US",
            "telephone_number": "267-990-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NIKIAH",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.