Matthew Walters, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007696 Issued in KY

Practice address

116 Meridian Way Ste 9
Richmond, KY 40475-2876

Phone

(859) 626-3131

NPI assigned

Sep 10, 2010

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1124335245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 DOE MEADOW CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092064",
            "telephone_number": "713-305-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MERIDIAN WAY STE 9",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752876",
            "telephone_number": "859-626-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Cynthiana",
            "state": "KY",
            "postal_code": "410313801",
            "country_code": "US",
            "telephone_number": "859-234-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2117 Rocky Dr",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403611370",
            "country_code": "US",
            "telephone_number": "859-988-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100629730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason Lee Walker, DMD
• Natasha Walker
• Davonna Wallen, LMT
• Deann Wallen
• Lauren Faith Walters
• Rebecca E Wang, DPT
• Elizabeth Anne Ward, M. A.
• Todd A Warnick, MA, CADC
• Carolyn Jane Warren
• Shawn Warren, D.C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.