Active NPI
Tracy Hodges Walker, DPT
- Physical Therapist
- Dalton, GA
National Provider Identifier
1245584630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010850
- Practice address
- 1508 N Thornton Ave Ste 106
Dalton, GA 30720-8516 - Phone
- (706) 226-0816
- Fax
- (706) 226-9584
- NPI assigned
- Nov 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010850 | GA | Primary |
| Physical Therapist | 225100000X | 9914 | TN |
Addresses
Primary practice location
1508 N Thornton Ave Ste 106
Dalton, GA 30720-8516
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9914 | Other | TN | PHYSICAL THERAPY |
| PT010850 | Other | GA | PHYSICAL THERAPY LICENSE |
Other names 1
- Tracy Michelle Walker
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 |
|---|---|---|---|
| PT010850 | GA | MD | Physical Therapist |
| 9914 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443916800000",
"number": "1245584630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 N THORNTON AVE STE 106",
"city": "DALTON",
"state": "GA",
"postal_code": "307208516",
"telephone_number": "706-226-0816",
"fax_number": "706-226-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TRACY",
"middle_name": "HODGES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2015-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010850",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9914",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "9914",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT010850",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "WALKER",
"middle_name": "MICHELLE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.