Active NPI
Walter Kold, PT
- Orthopedic Physical Therapist
- Lake in the Hills, IL
National Provider Identifier
1336187012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 411 N Randall Rd
Lake in the Hills, IL 60156-6335 - Phone
- (847) 854-9754
- Fax
- (847) 658-8185
- NPI assigned
- Jun 3, 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | IL | Primary |
Addresses
Primary practice location
411 N Randall Rd
Lake in the Hills, IL 60156-6335
Mailing address
5N201 Shady Oaks CT
St Charles, IL 60175-8557
Phone (630) 584-2254
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070014308 | IL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336187012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5N201 SHADY OAKS CT",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601758557",
"telephone_number": "630-584-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N RANDALL RD",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566335",
"telephone_number": "847-854-9754",
"fax_number": "847-658-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLD",
"first_name": "WALTER",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.