Jeffrey Walters

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032152 Issued in PA

Practice address

384 Greene Dr
Jefferson Hills, PA 15025-6316

Phone

(412) 901-0272

NPI assigned

Mar 14, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Champion Physical Therapy

  • Physical Therapist
  • Jefferson Hills, PA
  • NPI 1881509933
  NPD (past) Authorized official

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1427817261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 GREENE DR",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150256316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 GREENE DR",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150256316",
            "telephone_number": "412-901-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.walters@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin E Voytko, CRNA
• Haley Elizabeth Vranich, OTR/L
• Ashley Walbert
• Matthew Walbert, CRNA
• Elisabeth May Walls, PA-C
• Domenique Dicello Ward, PA-C
• Barbara Jean Warden, OTR/L
• Gordon Hughes Watkins III, PHARMD
• Marshall Watson, CRNA
• Ryan Watson, M.D.

• Physical Therapist in Jefferson Hills, PA
• Providers in Jefferson Hills, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.