Individual provider Active NPI

Tonya Walden, PT

  • Physical Therapist
  • Kokomo, IN
National Provider Identifier
1205656196
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002667A Issued in IN
Practice address
217 E Southway Blvd Ste 106
Kokomo, IN 46902-3577
Phone
(765) 236-8775
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05002667A IN Primary

Addresses

Primary practice location

217 E Southway Blvd Ste 106
Kokomo, IN 46902-3577

Mailing address

217 E Southway Blvd Ste 106
Kokomo, IN 46902-3577
Phone (765) 236-8775

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05002667AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital & Health Center, Inc. Physical Therapist CurrentSince Oct 27, 2024 Accepting new patients
St. Joseph Hospital & Health Center, Inc. PastSince Oct 20, 2024 Accepting new patients

Locations

217 E Southway Blvd
Ste 106
Kokomo, IN 46902
Phone (765) 236-8775

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1205656196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD STE 106",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023577",
            "telephone_number": "765-236-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD STE 106",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023577",
            "telephone_number": "765-236-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "TONYA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002667A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.