Individual provider Active NPI

George Thomas Walters, DPT, OCS, CSCS

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1669655940
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34243 Issued in CA
Practice address
955 La Paz Rd
Santa Barbara, CA 93108-1023
Phone
(805) 565-7192
NPI assigned
Dec 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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 PT34243 CA Primary

Addresses

Primary practice location

955 La Paz Rd
Santa Barbara, CA 93108-1023

Mailing address

1823 E Mountain Dr
Santa Barbara, CA 93108-1335
Phone (805) 680-4410

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34243CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hayashida & Associates Physical Therapy, Inc. Physical Therapist PastSince Feb 1, 2016 Accepting new patients
Sansum Clinic Past Accepting new patients

Organizations & group practices 2

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": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1669655940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 E MOUNTAIN DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931081335",
            "telephone_number": "805-680-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LA PAZ RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931081023",
            "telephone_number": "805-565-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "GEORGE",
        "middle_name": "THOMAS",
        "credential": "DPT, OCS, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.