Eseosa Guobadia Walker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011817 Issued in GA

Practice address

1585 Old Norcross Rd Ste 201B
Lawrenceville, GA 30046-4054

Phone

(404) 487-8491

NPI assigned

May 2, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eseosa.guobadia.p1@direct.lakeside.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Care Women's & Children's Wellness Physical Therapy, LLC

  dba Core Care Physical Therapy

  • Physical Therapy Clinic/Center
  • Lawrenceville, GA
  • NPI 1942853916
  NPD Authorized official
• Lakeside Medical Associates, a Medical Group, Inc.

  dba Lakeside Community Healthcare Medical Group

  • Rheumatology Physician
  • Burbank, CA
  • NPI 1861499535
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154543973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BRASELTON HWY",
            "address_2": "SUITE 10-293",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "516-782-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 OLD NORCROSS RD STE 201B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464054",
            "telephone_number": "404-487-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Braselton Hwy Ste 10-293",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300193262",
            "country_code": "US",
            "telephone_number": "516-782-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ESEOSA",
        "middle_name": "GUOBADIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby Walker
• Caroline Ashley Walker, PA-C
• Courtney Walker, COA
• Debbie Smith Walker, RNFA
• Elizabeth A Walker, CRNA
• Gianina Walker
• Jackqueline Walker, LPN
• Jerrell Walker, LPC
• Kimberly Walker
• La'Mar Walker, LPC

• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.