Heather Lee Walters, LPTA
Individual provider Active NPI Physical Therapy Assistant · Jenera, OH
NPI 1710695432 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1710695432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 07364 (OH)
- Practice address
- 7482 Township Road 32
Jenera, OH 45841-8915 - Phone
- (419) 420-5417
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07364 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 07364 | OH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT326022 | Other | OH | DRIVER'S LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heather.walters@otterbein.org | Health Information Exchange (HIE) |
Other providers in Jenera, OH
All providers in Jenera, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.