Gabrielle Star Walker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7288 Issued in SC

Practice address

252 Latitude LN
Suite 103
Lake Wylie, SC 29710-8150

Phone

(803) 818-0218

NPI assigned

Feb 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Gabrielle Star Crippen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1346664448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 AUTUMN GLEN CT",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297100107",
            "telephone_number": "803-240-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 LATITUDE LN",
            "address_2": "SUITE 103",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108150",
            "telephone_number": "803-818-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GABRIELLE",
        "middle_name": "STAR",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7288",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P14706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "CRIPPEN",
            "middle_name": "STAR",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chase Tucker, D.P.T
• Jennifer Vespa McGrann, DPT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Matt Walker, DPT
• Well-Balanced at Home Physical Therapy LLC
• Sarah West
• Kelly Michelle White, LCMHC
• Hannah Wilkerson

• Physical Therapist in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.