Active NPI
Matthew Zachary Walden, PT
- Physical Therapist
- Round Rock, TX
National Provider Identifier
1124492509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1231871
- Practice address
- 2000 S Mays St
Suite 400
Round Rock, TX 78664-7531 - Phone
- (512) 244-5993
- NPI assigned
- Nov 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1231871 | TX | Primary |
Addresses
Primary practice location
2000 S Mays St
Suite 400
Round Rock, TX 78664-7531
Mailing address
2700 N a W Grimes Blvd
Apt 512
Round Rock, TX 78665-3421
Phone (817) 821-0604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1124492509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 N A W GRIMES BLVD",
"address_2": "APT 512",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653421",
"telephone_number": "817-821-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S MAYS ST",
"address_2": "SUITE 400",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647531",
"telephone_number": "512-244-5993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "MATTHEW",
"middle_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-22",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1231871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.