Individual provider Active NPI

Samuel Steven Walter, DPT

  • Physical Therapist
  • Marshalltown, IA
National Provider Identifier
1699284489
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
080848 Issued in IA
Practice address
55 Central Iowa Dr
Marshalltown, IA 50158-4705
Phone
(641) 754-6120
NPI assigned
Sep 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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 080848 IA Primary

Addresses

Primary practice location

55 Central Iowa Dr
Marshalltown, IA 50158-4705

Mailing address

3114 E 24TH St
Des Moines, IA 50317-3609
Phone (515) 943-2719

Other names 1

  • N/a N/a N/a Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012001051 IA Practitioner - Physical Therapist in Private Practice 6901171255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.43 of 100Reported as group
Quality
80
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Physio, LLC CurrentSince Oct 3, 2017 Accepting new patients
Central Iowa Physio LLC Physical Therapist CurrentSince Oct 3, 2017 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients

Locations

55 Unitypoint Way
Ste 70
Marshalltown, IA 50158
Phone (641) 754-6120

55 Unitypoint Way
#70
Marshalltown, IA 50158
Phone (641) 754-6120

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

Organizations & group practices 3

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1699284489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 E 24TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503173609",
            "telephone_number": "515-943-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CENTRAL IOWA DR",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584705",
            "telephone_number": "641-754-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "SAMUEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "080848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.