Dave Walters
Individual provider Active NPI Physical Therapist · Troy, MI
NPI 1528081767 · NPPES record last updated Feb 5, 2008
Key facts
- NPI
- 1528081767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501006205 (MI)
- Practice address
- 3144 John R Rd
Suite 200
Troy, MI 48083-5930 - Phone
- (248) 743-0850
- Fax
- (248) 743-0851
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 1St Choice Physical Therapy Troy LLC
Practice addresses (Care Compare)
3144 John R Rd
Suite 200
Troy, MI 48083-5936
Phone (248) 743-0850
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060331000308 | MI | Practitioner - Physical Therapist in Private Practice | 7113935222 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Choice Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| HC Rehab Solutions LLC | Physical Therapist | Past | Accepting new patients |
| In Home Rehab,LLC | Physical Therapist | Past |
Accepting new patients |
Locations
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
43737 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-1178
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501006205 | MI | Yes |
Addresses
Primary practice location
3144 John R Rd
Suite 200
Troy, MI 48083-5930
Mailing address
13464 Culver Dr
Shelby Township, MI 48315-5371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E01877 | Other | MI | BCBSM |
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.