Doris Walterhouse, PT, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

05013845A

Practice address

655 River Ave
South Bend, IN 46601-3237

Phone

(231) 329-5518

NPI assigned

Jan 23, 2024

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

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Thrive Neuro Therapy, LLCGroup PAC ID 1850831850, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thrive Neuro Therapy, LLC

  • Physical Therapy Clinic/Center
  • South Bend, IN
  • NPI 1700647054

  Neurology

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1699536946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466240233",
            "telephone_number": "231-329-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 RIVER AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013237",
            "telephone_number": "231-329-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERHOUSE",
        "first_name": "DORIS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": "05013845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Walsh, AG-ACNP
• Mark M Walsh, MD
• Charlotte Em Walshe, MS
• Walter J Filipek MD
• Harrison Glen Walter, NP
• Caroline L Walters, PA-C
• Hollyann Walters, OTR
• Leandra Walters
• Tom Walters, LMHC
• Tricia A Walters, M.D.

• Neurology Physical Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Neurology Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.