Individual provider Active NPI

Jeremy John Walton

  • Physical Therapist
  • Greensburg, PA
National Provider Identifier
1598090474
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020257 Issued in PA
Practice address
133 Donohoe Rd
Greensburg, PA 15601-7921
Phone
(724) 830-8750
NPI assigned
Oct 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020257 PA Primary

Addresses

Primary practice location

133 Donohoe Rd
Greensburg, PA 15601-7921

Mailing address

118 New LN
Mount Pleasant, PA 15666-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128003547 WV Practitioner - Physical Therapist in Private Practice 3577807783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainstream Physical Therapy LLCGroup PAC ID 7214993096, 4 clinicians

Practice addresses (Care Compare)

243 Three Springs Dr
Suite 1
Weirton, WV 26062-3839
Phone (304) 723-7111

Merit-based Incentive Payment System (MIPS)

Final score
85.55 of 100Reported as group
Quality
81.19
Improvement activities
40
Cost
76.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020257PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstream Physical Therapy LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

243 Three Springs Dr
Ste 1
Weirton, WV 26062
Phone (304) 723-7111

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1598090474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NEW LN",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156665531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DONOHOE RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017921",
            "telephone_number": "724-830-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JEREMY",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.