Active NPI
Daniel A Walker, PT, DPT, OCS
- Physical Therapist
- San Diego, CA
National Provider Identifier
1730292251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 34200
- 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
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 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 34200 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Physical Therapy and Rehabilitation, Inc | Physical Therapist | Past | Accepting new patients |
| Pagador Physical Therapy Incorporated | Past | 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.
-
- Physical Therapist
- Encinitas, CA
- NPI 1588610315
-
- Orthopedic Physical Therapist
- San Diego, CA
- NPI 1902300080
-
- Physical Therapist
- Sharon, PA
- NPI 1194059782
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.