Wesley Paul Walker, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

109490-2401 Issued in UT

Practice address

3086 W Eugene Hill Way
Taylorsville, UT 84129-2290

Phone

(385) 226-0368

Fax

(801) 416-3446

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Align Physical Therapy and Sports Medicine, LLC

  • Physical Therapy Clinic/Center
  • Springville, UT
  • NPI 1346635851
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1124148754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 W EUGENE HILL WAY",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292290",
            "telephone_number": "385-226-0368",
            "fax_number": "801-416-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 W EUGENE HILL WAY",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292290",
            "telephone_number": "385-226-0368",
            "fax_number": "801-416-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WESLEY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "UT",
            "license": "109490-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE PT",
            "identifier": "109490-2401",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Alena Walker
• Ariel Walker
• Emily Walker
• Kristan Walker
• Eliza Mae Walkoviak
• Madeline Wallace
• Madison Waller
• Walmart Inc.
• Leela Walser

• All providers in Taylorsville, UT
• Geriatric Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.