Active NPI
Kelsey Walk, PT, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1518491364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT292725
- Practice address
- 8344 Clairemont Mesa Blvd
Ste 110
San Diego, CA 92111-1307 - Phone
- (858) 565-6910
- NPI assigned
- Apr 19, 2017
- Last updated
- Apr 19, 2017
- 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 | PT292725 | CA | Primary |
Addresses
Primary practice location
8344 Clairemont Mesa Blvd
Ste 110
San Diego, CA 92111-1307
Mailing address
2290 Elm Avenue
El Centro, CA 92243
Phone (760) 960-1654
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT292725 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kwalk Kids- Physical Therapy & Wellness, Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Physical Therapist
- San Diego, CA
- NPI 1275414724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1518491364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 ELM AVENUE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "92243",
"telephone_number": "760-960-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8344 CLAIREMONT MESA BLVD",
"address_2": "STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111307",
"telephone_number": "858-565-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALK",
"first_name": "KELSEY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT292725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.