Active NPI
Joshua Wall, PT
- Physical Therapist
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0020663 | CO | MD | Physical Therapist |
| PT42122 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integral Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Firestone, CO
- NPI 1891151627
-
- Physical Medicine & Rehabilitation Physician
- Lakewood, CO
- NPI 1922895564
Physical Therapist
-
- Rehabilitation Clinic/Center
- Lady Lake, FL
- NPI 1407922735
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.