Active NPI
Jon Walker, PT,DPT
- Physical Therapist
- Arlington, TX
National Provider Identifier
1316594435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1323550
- Practice address
- 6702 W Poly Webb Rd
Arlington, TX 76016-3615 - Phone
- (817) 478-0095
- Fax
- (817) 478-7628
- NPI assigned
- Aug 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1323550 | TX | Primary |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X |
Addresses
Primary practice location
6702 W Poly Webb Rd
Arlington, TX 76016-3615
Mailing address
6702 W Poly Webb Rd
Arlington, TX 76016-3615
Phone (817) 478-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6702 W Poly Webb Rd
North Texas Pain Recovery Center
Arlington, TX 76016-3615
Phone (817) 478-0095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Arlington Center for Pain Management | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (Corf) | Current | Accepting new patients |
| Lake Arlington Holding Company | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (Corf) | Past | Accepting new patients |
Locations
6702 W Poly Webb Rd
Arlington, TX 76016
Phone (817) 478-0095
Organizations & group practices 2
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.
-
dba North Texas Pain Recovery Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Arlington, TX
- NPI 1023234887
-
dba North Texas Pain Recovery Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Arlington, TX
- NPI 1558589903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1316594435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6702 W POLY WEBB RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760163615",
"telephone_number": "817-478-0095",
"fax_number": "817-478-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6702 W POLY WEBB RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760163615",
"telephone_number": "817-478-0095",
"fax_number": "817-478-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JON",
"credential": "PT,DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-22",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1323550",
"primary": true
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.