Walk on Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002454 Issued in KY

Legal business name

WALK ON PHYSICAL THERAPY, LLC

Practice address

6422 Fible LN
Crestwood, KY 40014-9726

Phone

(502) 551-0611

Fax

(502) 254-2777

NPI assigned

Nov 13, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer Q, Vale, PTNPI 1760410971

Title

President

Phone

(502) 551-0611

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Vale, PT

  • Physical Therapist
  • Crestwood, KY
  • NPI 1760410971
  NPD Authorized official

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1114254067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23041",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402230041",
            "telephone_number": "502-551-0611",
            "fax_number": "502-254-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 FIBLE LN",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149726",
            "telephone_number": "502-551-0611",
            "fax_number": "502-254-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK ON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "VALE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "Q,",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-551-0611",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87001012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwinn A. K. Vonnahme, DMD
• Stephanie Vontrapp
• Wal-Mart Stores East LP (Walmart Pharmacy 10-7290)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-7290)
• Walgreen Co. (Walgreens #11663)
• Marci Jo Walker, SLP
• Sandra Irene Walker, APRN
• Sydney Layne Walsh, MA, BCBA, LBA
• Jianxia Wang
• Madeleine Sofo Wardell, APRN

• Physical Therapist in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.