Active NPI
Patrick Walker, P.T., C.S.C.S
- Physical Therapist
- Claymont, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0001811
- Practice address
- 2714 Philadelphia Pike # a
Claymont, DE 19703-2568 - Phone
- (302) 408-7310
- Fax
- (302) 416-4817
- NPI assigned
- Oct 31, 2013
- Last updated
- Sep 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016048 | PA | |
| Physical Therapist | 225100000X | J1-0001811 | DE | Primary |
Addresses
Primary practice location
2714 Philadelphia Pike # a
Claymont, DE 19703-2568
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356779268 | Medicaid | DE | |
| 3015873 | Other | DE | HIGHMARK |
| 3915382000 | Other | PA | IBC |
| 50132206 | Other | PA | CAPITAL BC |
| 3015873 | Other | PA | HIGHMARK |
| AC44-0062 | Other | DE | CAREFIRST |
| 3930195000 | Other | DE | AMERIHEALTH (IBC) |
| 103007320 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 Chestnut Way
Middletown, DE 19709-9348
Phone (855) 657-8723
501 Plush Mill Rd
Wallingford, PA 19086-6040
Phone (855) 657-8723
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016048 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Move for Life Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Delaware LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services of Pennsylvania LLC | Physical Therapist | Past | Accepting new patients |
Locations
2714 Philadelphia Pike
Claymont, DE 19703
Phone (302) 408-7310
2714 Philadelphia Pike
#A
Claymont, DE 19703
Phone (302) 408-7310
2714 Philadelphia Pike
Ste E
Claymont, DE 19703
Phone (302) 408-7310
907 S Chapel St
Unit 180
Newark, DE 19713
Phone (302) 408-7310
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
2 W 10th St
Ste 201
Marcus Hook, PA 19061
Phone (610) 663-5888
7720 W Chester Pike
Upper Darby, PA 19082
Phone (610) 924-6100
7720 W Chester Pike
Ste 2
Upper Darby, PA 19082
Phone (610) 924-6100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Move For Life Physical Therapy LLC
- Physical Therapist
- Paoli, PA
- NPI 1932532207
DE
-
- Physical Medicine & Rehabilitation Physician
- Claymont, DE
- NPI 1750927141
Physical Therapist
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
- Physical Therapist
- Hudson, MA
- NPI 1336749605
-
dba Dynamic Physical Therapy
- Physical Therapist
- Aston, PA
- NPI 1346477981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1356779268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 PHILADELPHIA PIKE # A",
"city": "CLAYMONT",
"state": "DE",
"postal_code": "197032568",
"telephone_number": "302-408-7310",
"fax_number": "302-416-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "P.T., C.S.C.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-31",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016048",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356779268",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "3015873",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "3915382000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC",
"identifier": "50132206",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "3015873",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "AC44-0062",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH (IBC)",
"identifier": "3930195000",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103007320",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claymont, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.