Active NPI
Matthew Luther Walker, PT
- Physical Therapist
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08138R
- Practice address
- 3524 Kaliste Saloom Rd
Building 2, Suite 205
Lafayette, LA 70508-7638 - Phone
- (337) 993-2766
- Fax
- (337) 993-2764
- NPI assigned
- Aug 30, 2007
- 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 | 70015956 | IL | |
| Physical Therapist | 225100000X | 08138R | LA | Primary |
Addresses
Primary practice location
3524 Kaliste Saloom Rd
Building 2, Suite 205
Lafayette, LA 70508-7638
Mailing address
35 E Uwchlan Ave
Suite 330
Exton, PA 19341-1259
Phone (337) 993-2766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, LA, SC
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071231000599 | IL | Practitioner - Physical Therapist in Private Practice | 6204916372 | Reassigns benefits to 2 organizations |
| I20120411000075 | LA | Practitioner - Physical Therapist in Private Practice | 6204916372 | Reassigns benefits to 1 organization |
| I20180209000754 | SC | Practitioner - Physical Therapist in Private Practice | 6204916372 | Reassigns benefits to 1 organization |
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)
324 W State St
Unit 106
Geneva, IL 60134-2178
Phone (815) 255-4733
3524 Kaliste Saloom Rd
BLDG 2
Lafayette, LA 70508-7638
Phone (337) 993-2766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8818 | SC | MD | Mental Health Counselor |
| 70015956 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Integrated Therapy Centers, LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Elite Therapy Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Elite Therapy Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Robbins Rehabilitation | Physical Therapist | Past | Accepting new patients |
| Life Fit Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1180 W Wilson St
Ste B
Batavia, IL 60510
Phone (630) 208-3961
324 W State St
Ste 106
Geneva, IL 60134
Phone (815) 255-4733
3013 Veterans Memorial Dr
Ste 104
Abbeville, LA 70510
Phone (337) 385-5482
1209 Albertson Pkwy
Ste F
Broussard, LA 70518
Phone (337) 993-2766
401 N College Rd
Ste 1B
Lafayette, LA 70506
Phone (337) 993-2766
3524 Kaliste Saloom Rd
Ste 205
Lafayette, LA 70508
Phone (337) 993-2766
983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060
2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023
1011 Grove Rd
Ste 2A
Greenville, SC 29605
Phone (864) 232-4577
Organizations & group practices 7
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 Therapist
- Greenville, SC
- NPI 1184673600
-
- Physical Therapist
- Winchester, VA
- NPI 1225833726
-
- Physical Therapist
- Downingtown, PA
- NPI 1639181720
-
- Physical Therapist
- Allentown, PA
- NPI 1851338909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1487848610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E UWCHLAN AVE",
"address_2": "SUITE 330",
"city": "EXTON",
"state": "PA",
"postal_code": "193411259",
"telephone_number": "337-993-2766",
"fax_number": "337-993-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3524 KALISTE SALOOM RD",
"address_2": "BUILDING 2, SUITE 205",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705087638",
"telephone_number": "337-993-2766",
"fax_number": "337-993-2764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MATTHEW",
"middle_name": "LUTHER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70015956",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08138R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.