Kevin Lee Walters, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

1053353 Issued in TX

Practice address

809 W Harwood Rd
Ste 103
Hurst, TX 76054-3289

Phone

(817) 283-5252

Fax

(817) 283-5283

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1134124985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 FOREST RIVER DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121066",
            "telephone_number": "817-457-0077",
            "fax_number": "817-457-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W HARWOOD RD",
            "address_2": "STE 103",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543289",
            "telephone_number": "817-283-5252",
            "fax_number": "817-283-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1053353",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1053353",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1053353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #04132)
• John Lindsey Walker, LPC
• Rebecca L Walker, MD
• Michelle McCoy Wallace, LCSW
• Scott Wallis, D.C.
• Bin Wang, DMD
• Shirley Xuehua Wang, L.AC.
• Damita Jo Ware, RN, BSN
• Donald L Washington Jr., M.D.
• Kimberly Washington, PHARM D

• Sports Physical Therapist in Hurst, TX
• Providers in Hurst, TX by specialty
• Sports Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.