Active NPI
Heather Dawn Walker, PT, DPT
- Physical Therapist
- Oak Ridge, TN
National Provider Identifier
1255052783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14386
- Practice address
- 443 S Illinois Ave
Oak Ridge, TN 37830-7510 - Phone
- (865) 813-6450
- NPI assigned
- Sep 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14386 | TN | Primary |
Addresses
Primary practice location
443 S Illinois Ave
Oak Ridge, TN 37830-7510
Mailing address
9208 Moreno LN
Knoxville, TN 37922-6322
Phone (918) 704-7188
Other practice location 1
1107 North Hall Rd
Ste 200
Alcoa, TN 37701-2118
Phone (865) 738-1450
Other names 1
- Heather Beard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14386 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Past | Accepting new patients | |
| Gi for Kids, PLLC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
310 Fountain View Cir
Alcoa, TN 37701
Phone (865) 738-1450
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Alcoa, TN
- NPI 1801204433
-
- Pediatric Gastroenterology Physician
- Knoxville, TN
- NPI 1215392030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1255052783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9208 MORENO LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379226322",
"telephone_number": "918-704-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 S ILLINOIS AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307510",
"telephone_number": "865-813-6450"
}
],
"practiceLocations": [
{
"address_1": "1107 North Hall Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Alcoa",
"state": "TN",
"postal_code": "377012118",
"country_code": "US",
"telephone_number": "865-738-1450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "HEATHER",
"middle_name": "DAWN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2023-10-02",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "BEARD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.