Individual provider Active NPI

Jerrod Douglas Walker, P.T.

  • Physical Therapist
  • Jasper, AL
National Provider Identifier
1275510299
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3338 Issued in AL
Practice address
2980 Highway 78 E
Jasper, AL 35501-8903
Phone
(205) 384-1941
Fax
(205) 384-6362
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3338 AL Primary

Addresses

Primary practice location

2980 Highway 78 E
Jasper, AL 35501-8903

Mailing address

2980 Highway 78 E
Jasper, AL 35501-8903
Phone (205) 384-1941

Other identifiers 3

IdentifierTypeStateIssuer
000001568MedicaidAL
051501568OtherALBCBS OF ALABAMA
650020848OtherALMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000561 AL Practitioner - Physical Therapist in Private Practice 8325211048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3338ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Associates, LLC CurrentSince Nov 29, 2021 Accepting new patients
Rehab Associates, LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients

Locations

805 Saint Vincents Dr
Ste A
Birmingham, AL 35205
Phone (205) 212-9435

2980 Highway 78 E
Jasper, AL 35501
Phone (205) 384-1941

200 Montgomery Hwy
Ste 150
Vestavia Hills, AL 35216
Phone (205) 822-0067

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 2

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275510299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-384-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018903",
            "telephone_number": "205-384-1941",
            "fax_number": "205-384-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JERROD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001568",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "051501568",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "650020848",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.