Active NPI
Heather Lee Walters, LPTA
- Physical Therapy Assistant
- Jenera, OH
National Provider Identifier
1710695432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 07364
- Practice address
- 7482 Township Road 32
Jenera, OH 45841-8915 - Phone
- (419) 420-5417
- NPI assigned
- Nov 10, 2022
- Last updated
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 07364 | OH | Primary |
Addresses
Primary practice location
7482 Township Road 32
Jenera, OH 45841-8915
Mailing address
7482 Township Road 32
Jenera, OH 45841-8915
Phone (419) 420-5417
Other practice location 1
3529 Rivers Edge Dr
Perrysburg, OH 43551-1672
Phone (419) 874-2428
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heather.walters@otterbein.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 07364 | OH | MD | Physical Therapy Assistant |
Interoperability endpoints
- heather.walters@otterbein.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1710695432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7482 TOWNSHIP ROAD 32",
"city": "JENERA",
"state": "OH",
"postal_code": "458418915",
"telephone_number": "419-420-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7482 TOWNSHIP ROAD 32",
"city": "JENERA",
"state": "OH",
"postal_code": "458418915",
"telephone_number": "419-420-5417"
}
],
"practiceLocations": [
{
"address_1": "3529 Rivers Edge Dr",
"address_purpose": "LOCATION",
"city": "Perrysburg",
"state": "OH",
"postal_code": "435511672",
"country_code": "US",
"telephone_number": "419-874-2428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "HEATHER",
"middle_name": "LEE",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "07364",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heather.walters@otterbein.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "3529 Rivers Edge Dr",
"city": "Perrysburg",
"state": "OH",
"country_code": "US",
"postal_code": "435511672",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jenera, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.