Active NPI
Jaycie Walker
- Physical Therapist
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH11999
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH11999 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc | Physical Therapist | Current | Accepting new patients |
| Healthactions PA | Physical Therapist | Current | 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.
-
- Physical Therapist
- Jackson, AL
- NPI 1467444182
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1003819608
Physical Therapist
-
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Physical Therapist
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.