Emily Lavanna Walker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30077 Issued in FL

Practice address

5481 SW 60TH St Unit 102
Ocala, FL 34474-5638

Phone

(352) 873-1122

Fax

(352) 873-6841

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• TLC Rehab, LLC

  • Physical Therapist
  • Hernando, FL
  • NPI 1548237118
  NPD (past)
• TLC Rehab, LLC

  • Physical Therapist
  • Ocala, FL
  • NPI 1659340222
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1104441484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "352-448-7857",
            "fax_number": "352-448-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 SW 60TH ST UNIT 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745638",
            "telephone_number": "352-873-1122",
            "fax_number": "352-873-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "EMILY",
        "middle_name": "LAVANNA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreens Boots Alliance
• Brittany Walker
• Cindy Walker
• Ivy Walker, LPN
• Jay M Walker, PA-C
• Jonathan Ray Walker, D.C.
• Joshua Adam Walker, M.D.
• Katrina Walker

• Physical Therapy Assistant in Ocala, FL
• Providers in Ocala, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.