Paul-Douglas Walters

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1163539 Issued in TX

Practice address

1101 Raintee Circle, Suite 130
Allen, TX 75013

Phone

(469) 363-8552

NPI assigned

Jan 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Blue Haven Hospice, LLC

  • Community Based Hospice Care Agency
  • Plano, TX
  • NPI 1609287895
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1265063002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RAINTEE CIRCLE, SUITE 130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "469-363-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RAINTEE CIRCLE, SUITE 130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "469-363-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "PAUL-DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1163539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette Walker, LPC-A
• Kelly Marie Walker
• Lensie Kay Walker
• Lynn Walker
• Sharon Walsh, LCSW
• Warby Parker Inc.
• Austin Ward
• David Ward, FNP
• Erin Warden
• Shraddha Washindkar

• Physical Therapy Clinic/Center in Allen, TX
• Providers in Allen, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.