Individual provider Active NPI

Joshua Wall, PT

  • Physical Therapist
  • The Villages, FL
National Provider Identifier
1447081799
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42122 Issued in FL
Practice address
340 Heald Way Ste 232
The Villages, FL 32163-6088
Phone
(352) 330-1154
Fax
(352) 330-1004
NPI assigned
Aug 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42122 FL Primary
Physical Therapist 225100000X PTL.0020663 CO

Addresses

Primary practice location

340 Heald Way Ste 232
The Villages, FL 32163-6088

Mailing address

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211
Phone (720) 600-0370

Other practice location 1

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211
Phone (720) 600-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310000594 CO Practitioner - Physical Therapist in Private Practice 8527541416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Physical Therapy PLLCGroup PAC ID 5294025433, 41 clinicians

Practice addresses (Care Compare)

11169 E I25 Frontage Rd
Suite C
Firestone, CO 80504-5211
Phone (720) 600-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020663COMDPhysical Therapist
PT42122FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Physical Therapy LLC Physical Therapist CurrentSince Jan 31, 2026 Accepting new patients
The Villages Rehabilitation Services LLC Past Accepting new patients

Locations

11169 E I25 Frontage Rd
Ste C
Firestone, CO 80504
Phone 72060003701

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1447081799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11169 E I25 FRONTAGE RD STE C",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805045211",
            "telephone_number": "720-600-0370",
            "fax_number": "720-600-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HEALD WAY STE 232",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636088",
            "telephone_number": "352-330-1154",
            "fax_number": "352-330-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11169 E I25 Frontage Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Firestone",
            "state": "CO",
            "postal_code": "805045211",
            "country_code": "US",
            "telephone_number": "720-600-0370",
            "fax_number": "720-600-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42122",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.