Active NPI
Janice Walker, PT
- Pediatric Physical Therapist
- San Bernardino, CA
National Provider Identifier
1477513976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 32964
- Practice address
- 601 N E St
San Bernardino, CA 92410-3012 - Phone
- (760) 242-6333
- Fax
- (760) 242-6339
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 32964 | CA | Primary |
Addresses
Primary practice location
601 N E St
San Bernardino, CA 92410-3012
Mailing address
40124 Village Rd
Temecula, CA 92591-3539
Phone (678) 923-3110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32964 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477513976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40124 VILLAGE RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925913539",
"telephone_number": "678-923-3110",
"fax_number": "951-296-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N E ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103012",
"telephone_number": "760-242-6333",
"fax_number": "760-242-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JANICE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "32964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.