Stephanie Walden, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1058386 Issued in TX

Practice address

1 Potomac Dr
Houston, TX 77057-1207

Phone

(713) 790-1221

Fax

(713) 520-5493

NPI assigned

Feb 17, 2007

Sex

Female

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.

• John West Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Houston, TX
  • NPI 1427280585
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669516191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193401",
            "telephone_number": "713-790-1221",
            "fax_number": "713-520-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POTOMAC DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571207",
            "telephone_number": "713-790-1221",
            "fax_number": "713-520-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "STEPHANIE",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1058386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Walczak, D.O.
• Natalie Elizabeth Wald, APRN, AGCNS-BC
• Ori Wald, M.D PH.D
• Marlene Walden, RN, NNP-BC
• Robert Walden, CRNA
• Jeremy Ryan Walder, DO
• Chase Allen Walding, LPC, ASOTP
• Travis Walding, D.D.S
• Karen Leigh Waldman, PH.D.
• Kenneth R Waldman, PH.D.

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.