Jake Bartholomew Walsh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36651 Issued in CA

Practice address

6121 Paseo del Norte Ste 200
Carlsbad, CA 92011-1161

Phone

(760) 448-9050

Fax

(760) 754-6785

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Barbara Jean Boutelle Carlsbad Physical Therapy

  dba Scripps Ranch Physical Therapy and Hand Center

  • Physical Therapist
  • San Diego, CA
  • NPI 1699723098
  NPD (past)
• Advanced Orthopaedic Centers PA

  • Orthopaedic Surgery Physician
  • Woodbury, NJ
  • NPI 1275574667

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1619166964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-477-1350",
            "fax_number": "760-754-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 PASEO DEL NORTE STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111161",
            "telephone_number": "760-448-9050",
            "fax_number": "760-754-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1958 Via Ctr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816056",
            "country_code": "US",
            "telephone_number": "760-477-1350",
            "fax_number": "760-754-6785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JAKE",
        "middle_name": "BARTHOLOMEW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Walls
• Stacey Walls
• Coryll Walsh, LPCC
• Drew Kerrigan Walsh
• Emily Anne Walsh
• Jean Walsh
• Jenifer Walsh
• Lee Anne C. Walsh, R.D.
• Seraphina Hope Walsh, BCAT
• Ashley N Walters

• Physical Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.