Taylor Marie Walter, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT34133 Issued in FL

Practice address

13223 Black Mountain Rd # 1358
San Diego, CA 92129-2698

Phone

(858) 753-5082

Fax

(858) 800-2523

NPI assigned

Nov 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Taylor Marie Wille 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": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407324825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 COLWYN DR",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325336811",
            "telephone_number": "904-537-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13223 BLACK MOUNTAIN RD # 1358",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292698",
            "telephone_number": "858-753-5082",
            "fax_number": "858-800-2523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 Airport Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048623",
            "country_code": "US",
            "telephone_number": "850-484-9292",
            "fax_number": "850-484-9525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-03",
        "last_updated": "2025-09-11",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT34133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "WILLE",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesse Daniel Walter, MD
• Karl F. Walter, MD
• Lisa Walter, RADT
• Michele Walter, M.S., L.AC.
• Tanya Anne Walter
• Ashley Walters
• Catherine Elaine Walters, R.N.
• Jessica Walters
• Jodi Walters
• Jonathan J Walters, MD

• Pediatric Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.