Individual provider Active NPI

Daniel A Walker, PT, DPT, OCS

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1730292251
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 34200 Issued in CA
Practice address
3033 5TH Ave
Suite 410
San Diego, CA 92103-5856
Phone
(619) 228-9668
Fax
(619) 228-9685
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 34200 CA Primary

Addresses

Primary practice location

3033 5TH Ave
Suite 410
San Diego, CA 92103-5856

Mailing address

3033 5TH Ave
Suite 410
San Diego, CA 92103-5856
Phone (619) 228-9668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000870 CA Practitioner - Physical Therapist in Private Practice 9931284049 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3033 5TH Ave
Suite 410
San Diego, CA 92103-5873
Phone (619) 228-9668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 34200CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Physical Therapy and Rehabilitation, Inc Physical Therapist PastSince Jul 24, 2022 Accepting new patients
Pagador Physical Therapy Incorporated PastSince May 24, 2016 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730292251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 5TH AVE",
            "address_2": "SUITE 410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035856",
            "telephone_number": "619-228-9668",
            "fax_number": "619-228-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 5TH AVE",
            "address_2": "SUITE 410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035856",
            "telephone_number": "619-228-9668",
            "fax_number": "619-228-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.