Active NPI
Ron H Walker, LAT, ATC
- Rehabilitation Practitioner
- Tulsa, OK
National Provider Identifier
1396738928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- AT155
- Practice address
- 800 Tucker Dr
CH 310
Tulsa, OK 74104-9700 - Phone
- (918) 631-3240
- Fax
- (918) 631-2068
- NPI assigned
- Aug 30, 2005
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | AT155 | OK | Primary |
Addresses
Primary practice location
800 Tucker Dr
CH 310
Tulsa, OK 74104-9700
Mailing address
800 Tucker Dr
CH 310
Tulsa, OK 74104-9700
Phone (918) 631-3240
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 |
|---|---|---|---|
| AT155 | OK | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1396738928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 TUCKER DR",
"address_2": "CH 310",
"city": "TULSA",
"state": "OK",
"postal_code": "741049700",
"telephone_number": "918-631-3240",
"fax_number": "918-631-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 TUCKER DR",
"address_2": "CH 310",
"city": "TULSA",
"state": "OK",
"postal_code": "741049700",
"telephone_number": "918-631-3240",
"fax_number": "918-631-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "RON",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "OK",
"license": "AT155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.