Active NPI
Daniel Edward Walls, PT
- Physical Therapist
- Media, PA
National Provider Identifier
1669461547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003813L
- Practice address
- 2 Lafayette Cir
Media, PA 19063-5207 - Phone
- (610) 566-6806
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT003813L | PA | Primary |
Addresses
Primary practice location
2 Lafayette Cir
Media, PA 19063-5207
Mailing address
2 Lafayette Cir
Media, PA 19063-5207
Phone (610) 566-6806
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 |
|---|---|---|---|
| PT003813L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669461547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LAFAYETTE CIR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635207",
"telephone_number": "610-566-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LAFAYETTE CIR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635207",
"telephone_number": "610-566-6806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "DANIEL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT003813L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.