NPIMap

Organization Active NPI

Walk of Life Mobile Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1215511696
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WALK OF LIFE MOBILE PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
7205 E Chandler Ave
Evansville, IN 47715-4332
Phone
(423) 307-2986
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Dr. Kathryn L Avis, DPT, ATCNPI 1184150096
Title
Owner
Phone
(423) 307-2986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7205 E Chandler Ave
Evansville, IN 47715-4332

Mailing address

7205 E Chandler Ave
Evansville, IN 47715-4332
Phone (423) 307-2986

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1215511696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 E CHANDLER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154332",
            "telephone_number": "423-307-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 E CHANDLER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154332",
            "telephone_number": "423-307-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK OF LIFE MOBILE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "AVIS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-307-2986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.