Active NPI
Brian Scott Walker, DPT
- Orthopedic Physical Therapist
- Jonesboro, GA
National Provider Identifier
1588096259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT011140
- Practice address
- 335 Upper Riverdale Rd
Jonesboro, GA 30236-1099 - Phone
- (770) 907-5743
- Fax
- (770) 907-5746
- NPI assigned
- Aug 5, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| PT011140 | GA | MD | Orthopedic Physical Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT011140 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
335 Upper Riverdale Rd
Jonesboro, GA 30236-1099
Mailing address
3647 Sheffield PL
Tucker, GA 30084-7120
Phone (678) 429-9035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2013.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1588096259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3647 SHEFFIELD PL",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847120",
"telephone_number": "678-429-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 UPPER RIVERDALE RD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361099",
"telephone_number": "770-907-5743",
"fax_number": "770-907-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "BRIAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT011140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.