Active NPI
Jackson Ryan Walker, PT, DPT
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1699183947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08809
- Practice address
- 530 Shadows LN
Baton Rouge, LA 70806 - Phone
- (225) 927-9185
- Fax
- (225) 231-3833
- NPI assigned
- Jul 31, 2014
- 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 | 08809 | LA | Primary |
Addresses
Primary practice location
530 Shadows LN
Baton Rouge, LA 70806
Mailing address
530 Shadows LN
Baton Rouge, LA 70806-6530
Phone (225) 927-9185
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 |
|---|---|---|---|
| 08809 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1699183947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 SHADOWS LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066530",
"telephone_number": "225-927-9185",
"fax_number": "225-231-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 SHADOWS LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70806",
"telephone_number": "225-927-9185",
"fax_number": "225-231-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JACKSON",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.