Individual provider Active NPI

Colin B Walthour, DPT

  • Orthopedic Physical Therapist
  • Englewood, OH
National Provider Identifier
1245914662
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
015155 Issued in OH
Practice address
1250 W National Rd Ste 200
Englewood, OH 45315-9506
Phone
(937) 832-8982
Fax
(937) 832-8973
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 015155 OH Primary

Addresses

Primary practice location

1250 W National Rd Ste 200
Englewood, OH 45315-9506

Mailing address

1250 W National Rd
Englewood, OH 45315-9505
Phone (937) 832-8982

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
015155OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Medical Center PastSince Jun 18, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1245914662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W NATIONAL RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453159505",
            "telephone_number": "937-832-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W NATIONAL RD STE 200",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453159506",
            "telephone_number": "937-832-8982",
            "fax_number": "937-832-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHOUR",
        "first_name": "COLIN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "015155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.