Active NPI
Walker Physical Therapy, Inc
- Physical Therapist
- Sun City, CA
National Provider Identifier
1154411650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WALKER PHYSICAL THERAPY, INC
- Practice address
- 29650 Bradley Rd
Sun City, CA 92586-6521 - Phone
- (951) 672-0455
- Fax
- (951) 672-0206
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Lee Walker, M.O.M.T.
- Title
- President, Owner
- Phone
- (951) 672-0206
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
29650 Bradley Rd
Sun City, CA 92586-6521
Mailing address
29650 Bradley Rd
Sun City, CA 92586-6521
Phone (951) 672-0455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ06568Z | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080303000316 | CA | Part B Supplier - Clinic/Group Practice | 3072697879 |
Receives reassigned benefits from 13 practitioners Practice locations: Menifee, CA |
National Provider Directory
National Provider DirectoryLocations
29650 Bradley Rd
Sun City, CA 92586
Phone (951) 672-0455
Practitioners & affiliated clinicians
Practitioners 33
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Menifee, CA
- NPI 1043843501
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1154411650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29650 BRADLEY RD",
"city": "SUN CITY",
"state": "CA",
"postal_code": "925866521",
"telephone_number": "951-672-0455",
"fax_number": "951-672-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29650 BRADLEY RD",
"city": "SUN CITY",
"state": "CA",
"postal_code": "925866521",
"telephone_number": "951-672-0455",
"fax_number": "951-672-0206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKER PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT, OWNER",
"authorized_official_telephone_number": "951-672-0206",
"authorized_official_credential": "M.O.M.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "ZZZ06568Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.