Kent R Walterhouse, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05001489 Issued in IN

Practice address

3270 Intertech Drive
Angola, IN 46703

Phone

(260) 668-7752

Fax

(260) 668-7552

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 8123923281, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Logansport, IN, CCN 150072

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Parkview Logansport Hospital, Inc.

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1942317656
  Medicare reassignment Care Compare group NPD
• Parkview Logansport Hospital, Inc.

  • Rural Health Clinic/Center
  • Peru, IN
  • NPI 1770248015
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Parkview Logansport Hospital Inc

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1356320469
  Care Compare affiliation

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457556300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 NORTHCREST RD",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039334",
            "telephone_number": "574-248-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 INTERTECH DRIVE",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "46703",
            "telephone_number": "260-668-7752",
            "fax_number": "260-668-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERHOUSE",
        "first_name": "KENT",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harle Lauren Vogel, DO
• Marissa Sue Wagner
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Alysha M Warner
• Alicia Waters
• Watkins Family Practice, PC
• David P Watkins, M.D.
• Emily A Watkins, PT

• Physical Therapist in Angola, IN
• Providers in Angola, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.