Nikita Sue-Ann Walker

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603235 Issued in VA

Practice address

118 Five Forks Dr
Morgantown, WV 26508-9025

Phone

(814) 279-8316

NPI assigned

May 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338076800000",
    "number": "1134489966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FIVE FORKS DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089025",
            "telephone_number": "814-279-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FIVE FORKS DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089025",
            "telephone_number": "814-279-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NIKITA",
        "middle_name": "SUE-ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-27",
        "last_updated": "2012-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603235",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Layne Walker
• Danielle Walker
• Jeremie A Walker, M.D.
• Joyce Walker, RN
• Nicole Walker
• Andrew Wall, MD
• Amanda Wallace
• Kimberly Ann Wallace, NP-C
• Janet Walleck, CRNA
• Wallflower Connection Therapy Services PLLC

• Physical Therapy Assistant in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2012; 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.