Individual provider Active NPI

Patrick Walker, P.T., C.S.C.S

  • Physical Therapist
  • Claymont, DE
National Provider Identifier
1356779268
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0001811 Issued in DE
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1356779268MedicaidDE
3015873OtherDEHIGHMARK
3915382000OtherPAIBC
50132206OtherPACAPITAL BC
3015873OtherPAHIGHMARK
AC44-0062OtherDECAREFIRST
3930195000OtherDEAMERIHEALTH (IBC)
103007320MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140304001571 PA Practitioner - Physical Therapist in Private Practice 4688804065 Reassigns benefits to 2 organizations
I20150707001873 DE Practitioner - Physical Therapist in Private Practice 4688804065 Reassigns benefits to 2 organizations

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
Home Care Health Specialists LLCGroup PAC ID 3375774045, 34 clinicians

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

LicenseStateTypeSpecialty
PT016048PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Move for Life Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Ivyrehab Delaware LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Dynamic Therapy Services of Pennsylvania LLC Physical Therapist PastSince Aug 22, 2016 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.

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.

Verify at the official NPI Registry.