Active NPI
Luann Walsh
- Physical Therapist
- Carroll, IA
National Provider Identifier
1184974636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02397
- Practice address
- 515 N Main St
Carroll, IA 51401-2739 - Phone
- (712) 792-4000
- Fax
- (712) 792-3554
- NPI assigned
- Sep 12, 2012
- Last updated
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02397 | IA | Primary |
Addresses
Primary practice location
515 N Main St
Carroll, IA 51401-2739
Mailing address
515 N Main St
Carroll, IA 51401-2739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421477075 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02397 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1184974636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 N MAIN ST",
"city": "CARROLL",
"state": "IA",
"postal_code": "514012739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N MAIN ST",
"city": "CARROLL",
"state": "IA",
"postal_code": "514012739",
"telephone_number": "712-792-4000",
"fax_number": "712-792-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "LUANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421477075",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carroll, IA
- Benjamin Wachholtz, DDS
- Denise Wade, PHARM D
- Wal-Mart Stores, Inc. (Vision Center 30-1787)
- Walgreen Co (Walgreens #10770)
- Walmart Inc. (Walmart Pharmacy 10-1787)
- Rosemary C Watchorn, MS, RD, LD
- Katrina (Tina) K Wederquist Zanders, MS, LMSW
- Dorinda Wehde, MS, CADC
- Wellendorf ENT, P.C.
- Tracey G Wellendorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.