Individual provider Active NPI

Christopher J Walters, PT

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1114976917
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P6818 Issued in NC
Practice address
843 Durham Rd Ste 110
Wake Forest, NC 27587-8793
Phone
(919) 570-7080
Fax
(919) 570-7081
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 P6818 NC Primary

Addresses

Primary practice location

843 Durham Rd Ste 110
Wake Forest, NC 27587-8793

Mailing address

843 Durham Rd Ste 110
Wake Forest, NC 27587-8793
Phone (919) 570-7080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810001149 NC Practitioner - Physical Therapist in Private Practice 9032161211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Physical TherapyGroup PAC ID 6507818788, 7 clinicians

Practice addresses (Care Compare)

4005 Village Park Dr
Knightdale, NC 27545-7044
Phone (919) 217-0113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Physical Therapy Physical Therapist CurrentSince Jul 1, 2003 Accepting new patients

Locations

4005 Village Park Dr
Knightdale, NC 27545
Phone (919) 217-0113

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1114976917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 DURHAM RD STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 DURHAM RD STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P6818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.