Organization Active NPI

Walters and Associates Physical Therapy

  • Physical Therapy Clinic/Center
  • Claremont, CA
National Provider Identifier
1417014739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT5398 Issued in CA
Legal business name
WALTERS AND ASSOCIATES PHYSICAL THERAPY
Practice address
665 E Foothill Blvd
Suite M
Claremont, CA 91711-3581
Phone
(909) 625-6777
Fax
(909) 625-1506
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Priscilla Walters
Title
Physical Therapist
Phone
(909) 625-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT5398 CA Primary

Addresses

Primary practice location

665 E Foothill Blvd
Suite M
Claremont, CA 91711-3581

Mailing address

665 E Foothill Blvd
Suite M
Claremont, CA 91711-3581
Phone (909) 625-6777

National Provider Directory

National Provider Directory

Locations

665 E Foothill Blvd
Ste M
Claremont, CA 91711
Phone (909) 625-6777

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417014739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 E FOOTHILL BLVD",
            "address_2": "SUITE M",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113581",
            "telephone_number": "909-625-6777",
            "fax_number": "909-625-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 E FOOTHILL BLVD",
            "address_2": "SUITE M",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113581",
            "telephone_number": "909-625-6777",
            "fax_number": "909-625-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS AND ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "909-625-6777"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT5398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.