Julian Ronn Walters, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4854 Issued in MS

Practice address

7273 S Siwell Rd
Jackson, MS 39272-9776

Phone

(601) 372-8223

Fax

(601) 372-8125

NPI assigned

May 11, 2011

Last updated

Mar 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1275825101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 1947",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352870001",
            "telephone_number": "601-944-1717",
            "fax_number": "601-944-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7273 S SIWELL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392729776",
            "telephone_number": "601-372-8223",
            "fax_number": "601-372-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JULIAN",
        "middle_name": "RONN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elgin Kenneth Walley, D.D.S.
• Demetria S Walls, LMSW
• Aaron Jamison Walpole, M.D.
• Christen Lynel Walters Haygood, M.D.
• Charles M. Walters III, CPSSP-F
• Katherine Walters, CNP
• Lydia Michelle Walters, FNP-C
• Patricia A. Waltman, ED.D., CNNP
• Avery Wambsgans
• Charlene Tiffany Wang, MD

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.