Active NPI
Kathleen Walter
- Physical Therapist
- Lexington, SC
National Provider Identifier
1740721711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010342-1
- Practice address
- 1792 S Lake Dr
Ste 90-125
Lexington, SC 29073-6824 - Phone
- (585) 943-3980
- NPI assigned
- Mar 10, 2017
- Last updated
- Mar 10, 2017
- Sex
- Female
- 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 | 010342-1 | NY | Primary |
Addresses
Primary practice location
1792 S Lake Dr
Ste 90-125
Lexington, SC 29073-6824
Mailing address
1792 S Lake Dr
Ste 90-125
Lexington, SC 29073-6824
Phone (585) 943-3980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010342-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1740721711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 S LAKE DR",
"address_2": "STE 90-125",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290736824",
"telephone_number": "585-943-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 S LAKE DR",
"address_2": "STE 90-125",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290736824",
"telephone_number": "585-943-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-10",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010342-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.