Individual provider Active NPI

Jaycie Walker

  • Physical Therapist
  • Dothan, AL
National Provider Identifier
1740015577
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11999 Issued in AL
Practice address
1811 E Main St Ste 1
Dothan, AL 36301-3013
Phone
(334) 828-7300
Fax
(334) 828-7333
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 PTH11999 AL Primary

Addresses

Primary practice location

1811 E Main St Ste 1
Dothan, AL 36301-3013

Mailing address

42465 Highway 195
Haleyville, AL 35565-7052
Phone (256) 350-1764

Other practice location 1

345 Healthwest Dr
Dothan, AL 36303-2053
Phone (334) 836-4523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001963 AL Practitioner - Physical Therapist in Private Practice 0244763712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthactions PAGroup PAC ID 3476535881, 19 clinicians

Practice addresses (Care Compare)

1711 College Ave
Jackson, AL 36545-2425
Phone (251) 246-5761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11999ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Sep 5, 2024 Accepting new patients
Encore Rehabilitation, Inc Physical Therapist CurrentSince Sep 5, 2024 Accepting new patients
Healthactions PA Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients

Locations

27955 US Highway 98
Ste Xyz
Daphne, AL 36526
Phone (251) 410-0620

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

345 Healthwest Dr
Dothan, AL 36303
Phone (334) 793-2663

1811 E Main St
#1
Dothan, AL 36301
Phone (334) 828-7300

42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753

1711 College Ave
Jackson, AL 36545
Phone (251) 246-5761

1261 Hillcrest Rd
Ste B
Mobile, AL 36695
Phone (251) 306-0152

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1740015577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42465 HIGHWAY 195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657052",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E MAIN ST STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013013",
            "telephone_number": "334-828-7300",
            "fax_number": "334-828-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Healthwest Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363032053",
            "country_code": "US",
            "telephone_number": "334-836-4523",
            "fax_number": "334-673-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JAYCIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.