Individual provider Active NPI

Conor Terrence Walsh, PT

  • Physical Therapist
  • Waxhaw, NC
National Provider Identifier
1285391599
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP043383T Issued in NC
Practice address
8121 Kensington Dr Ste E
Waxhaw, NC 28173-0311
Phone
(704) 256-5115
NPI assigned
Nov 22, 2021
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14004 TN
Physical Therapist 225100000X CP043383T NC Primary

Addresses

Primary practice location

8121 Kensington Dr Ste E
Waxhaw, NC 28173-0311

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

910 E Southlake Blvd
Southlake, TX 76092-6388
Phone (817) 421-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA, VA, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20211207000994 TN Practitioner - Physical Therapist in Private Practice 7315337334 Reassigns benefits to 2 organizations
I20230706001502 WA Practitioner - Physical Therapist in Private Practice 7315337334 Reassigns benefits to 1 organization
I20240110001145 VA Practitioner - Physical Therapist in Private Practice 7315337334 Reassigns benefits to 1 organization
I20250418001969 NC Practitioner - Physical Therapist in Private Practice 7315337334 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14004TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physical Therapist CurrentSince Jun 15, 2023 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince May 5, 2025 Accepting new patients
Mary Washington Healthcare Physicians Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Multicare Health System CurrentSince Jun 15, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 8, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Achieve Health and Wellness PastSince Nov 1, 2021 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

610 N Fayetteville St
Ste 101
Asheboro, NC 27203
Phone (336) 633-4263

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

8121 Kensington Dr
Ste E
Waxhaw, NC 28173
Phone (704) 256-5115

1608 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 892-8070

4626 Highway 58
Chattanooga, TN 37416
Phone (423) 553-7972

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133

9530 Cosner Dr
Ste 101
Fredericksburg, VA 22408

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

10141 224th St E
Graham, WA 98338
Phone (253) 240-0315

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Interoperability endpoints

  • Direct secure messaging: conor.walsh.1@15749.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1285391599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 KENSINGTON DR STE E",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730311",
            "telephone_number": "704-256-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Southlake Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926388",
            "country_code": "US",
            "telephone_number": "817-421-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CONOR",
        "middle_name": "TERRENCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-22",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14004",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP043383T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.