Individual provider Active NPI

Victoria Lee Walker, PT, DPT

  • Physical Therapist
  • Keller, TX
National Provider Identifier
1649034349
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1389029 Issued in TX
Practice address
1652 Keller Pkwy Ste 100
Keller, TX 76248-3876
Phone
(817) 562-3111
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 1389029 TX Primary

Addresses

Primary practice location

1652 Keller Pkwy Ste 100
Keller, TX 76248-3876

Mailing address

1652 Keller Pkwy Ste 100
Keller, TX 76248-3876
Phone (817) 562-3111

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

LicenseStateTypeSpecialty
1389029TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapedia, LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

17516 Matany Rd
Ste 100
Justin, TX 76247
Phone (714) 904-2003

1652 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (817) 562-3111

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1649034349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 KELLER PKWY STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483876",
            "telephone_number": "817-562-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 KELLER PKWY STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483876",
            "telephone_number": "817-562-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1389029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.