John J Walker II, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000003238 Issued in VA

Practice address

595 Martha Jefferson Dr Ste 180
Charlottesville, VA 22911-4669

Phone

(434) 654-5575

Fax

(434) 654-8950

NPI assigned

Dec 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1740828185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MARTHA JEFFERSON DR STE 180",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114669",
            "telephone_number": "434-654-5575",
            "fax_number": "434-654-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MARTHA JEFFERSON DR STE 180",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114669",
            "telephone_number": "434-654-5575",
            "fax_number": "434-654-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_suffix": "II",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "2000003238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlottesville",
            "affiliation": "N",
            "address_1": "595 Martha Jefferson Dr Ste 180",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229114669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• Ryan Waligora
• Amanda Walker, PA-C, ATC
• Audrey Walker
• Jessica Leeanna Walker, BEHAVIORAL TECH
• Lizelle Walker, ATC/L
• Mary Eb Walker, P.T.A.
• Robyn R. Walker, MPT
• Shetarra Walker, MD
• Brittany Wall, MD

• Athletic Trainer in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.