Jeffrey Walter, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1048-39 Issued in WI

Practice address

8700 W Watertown Plank Rd
Milwaukee, WI 53226-3595

Phone

(414) 805-7111

NPI assigned

Jan 20, 2015

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1205225828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 FAIRLANE AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263595",
            "telephone_number": "414-805-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JEFFREY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1048-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Elizabeth Walsh, M.D.
• Patrick Walsh, M.D.
• Rebecca Frances Walsh
• Ryan Dennis Walsh, MD
• Susan K. Walsh, LCSW
• Kathy Walter, LPC
• Kevin D Walter, MD
• Walter'S Second Chance of Milwaukee, LLC.
• Elizabeth Walters, DO
• Jana Susanne Walters, M.A., CCC-SLP

• Athletic Trainer in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.