Individual provider Active NPI

Kyle Walker

  • Physical Therapist
  • Centerville, OH
National Provider Identifier
1497352546
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6560 Centerville Business Pkwy
Centerville, OH 45459-2685
Phone
(937) 470-7612
NPI assigned
Oct 1, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6560 Centerville Business Pkwy
Centerville, OH 45459-2685

Mailing address

6560 Centerville Business Pkwy
Centerville, OH 45459-2685

Other practice location 1

4160 Little York Rd
Dayton, OH 45414-5800
Phone (937) 415-9100

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Advantage LLC Physical Therapist CurrentSince Oct 4, 2020 Accepting new patients
April D. Dunnington, Inc. CurrentSince Oct 4, 2020 Accepting new patients

Locations

4160 Little York Rd
Dayton, OH 45414
Phone (937) 415-9170

6560 Centerville Business Pkwy
Dayton, OH 45459
Phone (937) 432-6565

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.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1497352546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592685",
            "telephone_number": "937-470-7612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Little York Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454145800",
            "country_code": "US",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.