Individual provider Active NPI

Matthew Luther Walker, PT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1487848610
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08138R Issued in LA
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

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

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

LicenseStateTypeSpecialty
8818SCMDMental Health Counselor
70015956ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Integrated Therapy Centers, LLC Physical Therapist CurrentSince Nov 20, 2017 Accepting new patients
Dynamic Rehabilitation, Inc. Physical Therapist CurrentSince Apr 15, 2019 Accepting new patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Mar 28, 2018 Accepting new patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Mar 7, 2016 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.

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.

Verify at the official NPI Registry.