Active NPI
Hudson & Walker - a Physical Therapy Corporation
- Physical Therapist
- San Bernardino, CA
National Provider Identifier
1275845265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10069
- Legal business name
- HUDSON & WALKER - A PHYSICAL THERAPY CORPORATION
- Practice address
- 2131 Elks Dr
102
San Bernardino, CA 92404-5544 - Phone
- (909) 886-1212
- Fax
- (909) 886-1228
- NPI assigned
- Jul 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Hudson, RPT
- Title
- Owner
- Phone
- (909) 886-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10069 | CA | Primary |
Addresses
Primary practice location
2131 Elks Dr
102
San Bernardino, CA 92404-5544
Mailing address
2131 Elks Dr
102
San Bernardino, CA 92404-5544
Phone (909) 886-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080122000376 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5395826994 |
2 other NPIs on this enrollment Practice locations: San Bernardino, CA |
National Provider Directory
National Provider DirectoryLocations
16018 Tuscola Rd
Ste 6
Apple Valley, CA 92307
Phone (760) 242-8672
2131 Elks Dr
Ste 102
Sn Bernrdno, CA 92404
Phone (909) 886-1212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Barstow, CA
- NPI 1245258623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662681600000",
"number": "1275845265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 ELKS DR",
"address_2": "102",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045544",
"telephone_number": "909-886-1212",
"fax_number": "909-886-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 ELKS DR",
"address_2": "102",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045544",
"telephone_number": "909-886-1212",
"fax_number": "909-886-1228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON & WALKER - A PHYSICAL THERAPY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-08",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-886-1212",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT10069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.