Kathleen Marie Walker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10209 Issued in TN

Practice address

353 New Shackle Island Rd Ste 142C
Hendersonville, TN 37075-2487

Phone

(615) 826-4205

Fax

(615) 826-4087

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

St. Louis College of Physicians and Surgeons, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Orthopaedics and Sports Medicine PLCGroup PAC ID 9032023320, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.walker.1@321.direct.athenahealth.com

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.

• Premier Orthopaedics & Sports Medicine PLC

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1972577351

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Premier Orthopaedics & Sports Medicine, PLC

  • Durable Medical Equipment & Medical Supplies
  • Murfreesboro, TN
  • NPI 1861029084
  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1497001051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 142C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752487",
            "telephone_number": "615-826-4205",
            "fax_number": "615-826-4087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601534046",
            "country_code": "US",
            "telephone_number": "708-531-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.018605",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Alyssa Kaye Walker
• Clayton Robert Walker, PA-C
• Debra K Walker, LMFT
• Emma Walker
• Zoe Walker
• Morgan Wall
• Tonya A Walls
• Walmart Vision Center #1376
• Jason Walston, OD

• Physical Therapist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.