Walk and Talk Physical and Speech Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004131A Issued in IN

Legal business name

WALK AND TALK PHYSICAL AND SPEECH THERAPY LLC

Practice address

2012 N Main St
Crown Point, IN 46307-2002

Phone

(219) 730-1153

NPI assigned

Oct 20, 2014

Last updated

Oct 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Vanderwoude

Title

Physical Therapist

Phone

(219) 730-1153

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1447654447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CHURCHILL LN",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072002",
            "telephone_number": "219-730-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK AND TALK PHYSICAL AND SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "VANDERWOUDE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "219-730-1153"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004131A",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004212A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.