Active NPI
Barry Walter, PT
- Physical Therapist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1174572
- Practice address
- 3816 S 1St St
Austin, TX 78704-7048 - Phone
- (512) 443-1311
- Fax
- (512) 448-8261
- NPI assigned
- Oct 26, 2007
- Last updated
- Dec 24, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1174572 | TX | Primary |
Addresses
Primary practice location
3816 S 1St St
Austin, TX 78704-7048
Mailing address
PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00X977 | Other | TX | MEDICARE GROUP TPAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16020 Park Valley Dr
Round Rock, TX 78681-3573
Phone (512) 388-1448
210 Ed Schmidt Hwy
Suite 250
Hutto, TX 78634-5796
Phone (512) 642-9101
3202 W Anderson LN
Suite 202
Austin, TX 78757-1022
Phone (512) 351-3263
5632 Edwards Ranch Rd
Suite 110 Fort Worth Physical Therapy
Ft Worth, TX 76109-4102
Phone (817) 259-0600
6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546
896 Summit St
Suite 102
Round Rock, TX 78664-4370
Phone (512) 599-4262
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.64 of 100
- Quality
- 46.1
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1174572 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Rehab Center Inc | Physical Therapist | Current | Accepting new patients |
| Endeavor Rehab Center Inc | Physical Therapist | Current | Accepting new patients |
Locations
1033 La Posada Dr
Ste 170
Austin, TX 78752
Phone (512) 284-7192
1033 La Posada Dr
Ste 230
Austin, TX 78752
Phone (512) 284-7192
3809 S 2nd St
Ste D100
Austin, TX 78704
Phone (512) 800-2569
6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533
5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600
920 Kohlers Xing
Ste 550
Kyle, TX 78640
Phone (512) 213-6261
896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Austin, TX
- NPI 1760506232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261612800000",
"number": "1487833414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26726",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787550726",
"telephone_number": "512-407-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 S 1ST ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047048",
"telephone_number": "512-443-1311",
"fax_number": "512-448-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "BARRY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2009-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1174572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP TPAN",
"identifier": "00X977",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.