Kristine Lynette Boyle-Walker, P.T.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT19864 Issued in CA

Practice address

760 N Euclid St
Suite 105
Anaheim, CA 92801-4133

Phone

(714) 535-7700

Fax

(714) 535-5445

NPI assigned

Aug 4, 2006

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prosport Physical Therapy Professionals IncGroup PAC ID 0749510634, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbwalker@direct.osiortho.nextgenshare.com

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

• Prosport Physical Therapy Professionals Inc

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1073170437

  CA, Physical Therapy

  Medicare reassignment Care Compare group NPD
• Prosport Physical Therapy Professionals Inc

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1487648341

  Physical Therapy

  NPD
• Prosport Physical Therapy Professionals Inc

  • Specialist
  • Costa Mesa, CA
  • NPI 1649223694

  Physical Therapy

  NPD
• Wilcox Physical Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Anaheim, CA
  • NPI 1245251511

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174531099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 N EUCLID ST",
            "address_2": "SUITE 105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014133",
            "telephone_number": "714-535-7700",
            "fax_number": "714-535-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N EUCLID ST",
            "address_2": "SUITE 105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014133",
            "telephone_number": "714-535-7700",
            "fax_number": "714-535-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE-WALKER",
        "first_name": "KRISTINE",
        "middle_name": "LYNETTE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT19864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Boyd
• Odette Boyd, PA
• Selene Gurbuz Boyd, MSW
• Jasmine Bree Boyer
• Jamie Justine Boylan, MA, LMFT
• Raquel Bozek
• BPP Medical Services Inc
• Kara Bradford, M.D.
• John Bradley
• Casey Brady, RADT

• All providers in Anaheim, CA
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.