Active NPI
Malia Lauren Walker, DPT
- Physical Therapist
- Renton, WA
National Provider Identifier
1508277286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60449699
- Practice address
- 17800 Talbot Rd S
Suite D
Renton, WA 98055-5740 - Phone
- (425) 277-9096
- Fax
- (425) 277-1206
- NPI assigned
- May 15, 2014
- Sex
- Female
- 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 | PT60449699 | WA | Primary |
Addresses
Primary practice location
17800 Talbot Rd S
Suite D
Renton, WA 98055-5740
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60449699 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1508277286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 TALBOT RD S",
"address_2": "SUITE D",
"city": "RENTON",
"state": "WA",
"postal_code": "980555740",
"telephone_number": "425-277-9096",
"fax_number": "425-277-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MALIA",
"middle_name": "LAUREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60449699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.