Active NPI
Robert Scott Walker, P.T.
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1285685206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5385
- Practice address
- 303 N Centennial Way
Mesa, AZ 85201-6733 - Phone
- (480) 649-3111
- Fax
- (480) 649-3113
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5385 | AZ | Primary |
Addresses
Primary practice location
303 N Centennial Way
Mesa, AZ 85201-6733
Mailing address
303 N Centennial Way
Mesa, AZ 85201-6733
Phone (480) 649-3111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753120978 | Other | AZ | TRICARE |
| 753120978 | Other | AZ | AETNA |
| AZ0463540 | Other | AZ | BCBS |
| 753120978 | Other | AZ | BANNER LPHO |
| 753120978 | Other | AZ | HUMANA |
| 2Z223 | Other | AZ | HEALTHNET HMO PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5385 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1285685206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N CENTENNIAL WAY",
"city": "MESA",
"state": "AZ",
"postal_code": "852016733",
"telephone_number": "480-649-3111",
"fax_number": "480-649-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N CENTENNIAL WAY",
"city": "MESA",
"state": "AZ",
"postal_code": "852016733",
"telephone_number": "480-649-3111",
"fax_number": "480-649-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "753120978",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "753120978",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0463540",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BANNER LPHO",
"identifier": "753120978",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "753120978",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET HMO PPO",
"identifier": "2Z223",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.