Active NPI
Alice Walls, PT
- Physical Therapist
- Glassboro, NJ
National Provider Identifier
1538616933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61491
- Practice address
- 405 Dickinson Rd
Glassboro, NJ 08028-1512 - Phone
- (609) 280-4550
- NPI assigned
- Sep 2, 2016
- Last updated
- Sep 2, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61491 | OR | Primary |
| Physical Therapist | 225100000X | PT024480 | PA |
Addresses
Primary practice location
405 Dickinson Rd
Glassboro, NJ 08028-1512
Mailing address
405 Dickinson Rd
Glassboro, NJ 08028-1512
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 |
|---|---|---|---|
| 61491 | OR | MD | Physical Therapist |
| PT024480 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1538616933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 DICKINSON RD",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 DICKINSON RD",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281512",
"telephone_number": "609-280-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "ALICE",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61491",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.