Individual provider Active NPI

Elizabeth Walker, PT, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1295465235
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-32337 Issued in AZ
Practice address
4554 E Inverness Ave Ste C1
Mesa, AZ 85206-4639
Phone
(602) 769-8509
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X LPT-32337 AZ Primary

Addresses

Primary practice location

4554 E Inverness Ave Ste C1
Mesa, AZ 85206-4639

Mailing address

4412 E Edison St
Tucson, AZ 85712-3286
Phone (602) 769-8509

Other identifiers 1

IdentifierTypeStateIssuer
163793OtherAZAZ AHCCCS ID

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

State licenses

LicenseStateTypeSpecialty
LPT-32337AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Pediatric Therapy, LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

1831 W Rose Garden Ln
Ste 4
Phoenix, AZ 85027
Phone (602) 808-9912

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1295465235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 E EDISON ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123286",
            "telephone_number": "602-769-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 E INVERNESS AVE STE C1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064639",
            "telephone_number": "602-769-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ AHCCCS ID",
            "identifier": "163793",
            "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 Jun 28, 2024; 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.