Active NPI
Cathy Walls, PT
- Sports Physical Therapist
- Milwaukee, WI
National Provider Identifier
1093262578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 10604-24
- Practice address
- 945 N. 12TH St
Milwaukee, WI 53201 - Phone
- (414) 219-7776
- Fax
- (414) 219-7775
- NPI assigned
- Sep 1, 2016
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 10604-24 | WI | Primary |
Addresses
Primary practice location
945 N. 12TH St
Milwaukee, WI 53201
Mailing address
9505 W Ruby Ave
Wauwatosa, WI 53225-4813
Phone (414) 520-2279
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10604-24 | WI | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1093262578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9505 W RUBY AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532254813",
"telephone_number": "414-520-2279",
"fax_number": "414-219-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 N. 12TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53201",
"telephone_number": "414-219-7776",
"fax_number": "414-219-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "CATHY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WI",
"license": "10604-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.