Carlene Walker, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2305208552 Issued in VA

Practice address

100 Carpenter Dr Ste 140
Sterling, VA 20164-4464

Phone

(703) 707-9060

Fax

(703) 707-9022

NPI assigned

Mar 5, 2014

Last updated

Jan 26, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Children's Therapy Center

  • Pediatric Physical Therapist
  • Sterling, VA
  • NPI 1023163581

  Pediatrics

  NPD
• Fleming Therapy Services, LLC

  dba Ivyrehab

  • Speech-Language Pathologist
  • Stafford, VA
  • NPI 1194925818
  NPD (past)

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1700202454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARPENTER DR STE 140",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644464",
            "telephone_number": "703-707-9060",
            "fax_number": "703-707-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARPENTER DR STE 140",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644464",
            "telephone_number": "703-707-9060",
            "fax_number": "703-707-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CARLENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305208552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-3639)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2038)
• Wal-Mart Stores East, LP (Vision Center 30-2038)
• Walgreen Co (Walgreens #17200)
• Walgreen Co (Walgreens #18429)
• Shannon Ashley Walsh, LCSW
• Kiah Rae Walton
• Michelle Wapnick
• Washington Radiology Associates, PLLC
• Sharon Watson, LPC,LMFT,LSATP,NCC

• Pediatric Physical Therapist in Sterling, VA
• Providers in Sterling, VA by specialty
• Pediatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.