Jesse Walker DO PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JESSE WALKER DO PLLC

Practice address

8074 S 1300 E
Sandy, UT 84094-0743

Phone

(801) 565-6751

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Jesse Walker, DONPI 1417452046

Title

President

Phone

(925) 330-5535

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Walker, DO

  • Physical Medicine & Rehabilitation Physician
  • Sandy, UT
  • NPI 1417452046
  Medicare reassignment NPD Authorized official
• Daniel Jacob Densley, PA-C

  • Medical Physician Assistant
  • West Wendover, NV
  • NPI 1750894184

  UT

  Medicare reassignment

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1154059228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 E SPRING RUN DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841176956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940743",
            "telephone_number": "801-565-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE WALKER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-330-5535",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jesse.walker@encompasshealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8074 S 1300 E",
            "city": "Sandy",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840940743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter E Jensen, M.D.
• Rian Hunt Jensen, L.C.S.W.
• Sarah Howells Jensen, R.N.
• Steven K Jensen, DDS
• Rod W Jeppsen, LPC
• Andrew Jessee
• Christopher Jessen, DNP
• Jaleena Ann Jessop, D.D.S
• Louis Keith Jessop, D.D.S.
• Aleshia C Jex, CSW

• Physical Medicine & Rehabilitation Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.