Individual provider Active NPI

Sheri Lynne Walters, PT, ATC

  • Sports Physical Therapist
  • Frisco, TX
National Provider Identifier
1700086998
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
05009329A Issued in IN
Practice address
6155 Sports Village Rd Ste 400
Exos-Athletes' Performance
Frisco, TX 75033-3578
Phone
(214) 618-3246
Fax
(214) 618-3249
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT28628 FL
Sports Physical Therapist 2251S0007X 05009329A IN Primary
Sports Physical Therapist 2251S0007X 1169908 TX
Sports Physical Therapist 2251S0007X 10586 AZ
Sports Physical Therapist 2251S0007X PT40911 CA

Addresses

Primary practice location

6155 Sports Village Rd Ste 400
Exos-Athletes' Performance
Frisco, TX 75033-3578

Mailing address

6155 Sports Village Rd Ste 400
Exos-Athletes' Performance
Frisco, TX 75033-3578
Phone (214) 618-3246

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
10586AZMDDentist
PT40911CAMDSports Physical Therapist
PT28628FLMDSports Physical Therapist
05009329AINMDSports Physical Therapist
1169908TXMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University Past Accepting new patients

Organizations & group practices 1

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1700086998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 SPORTS VILLAGE RD STE 400",
            "address_2": "EXOS-ATHLETES' PERFORMANCE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333578",
            "telephone_number": "214-618-3246",
            "fax_number": "214-618-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 SPORTS VILLAGE RD STE 400",
            "address_2": "EXOS-ATHLETES' PERFORMANCE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333578",
            "telephone_number": "214-618-3246",
            "fax_number": "214-618-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SHERI",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT28628",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IN",
            "license": "05009329A",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1169908",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "10586",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT40911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.