Paige Elizabeth Walls, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1345600 Issued in TX

Practice address

5632 Edwards Ranch Rd
Fort Worth, TX 76109-4148

Phone

(817) 259-0600

NPI assigned

May 3, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1376288357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 THUNDERWING DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791540",
            "telephone_number": "512-797-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 EDWARDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094148",
            "telephone_number": "817-259-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 W Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744674616",
            "country_code": "US",
            "telephone_number": "918-485-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "PAIGE",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "114873",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1345600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Wallin, RN
• Michele L Wallis, RN
• Walls Universal Home Health & Hospice Services, Inc.
• Amanda Walls, APRN-FNP
• Kathy Diane Walls, RN, BSN
• Sheena Walraven
• Walsh Chirosport PLLC
• Jordan Walsh, DC
• Ralph Claiborne Walsh Jr., DO
• Walter Dietrich Gracia, M.D., P.a.

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.