Active NPI
Brett Walters, DPT, PT
- Physical Therapist
- Holly Springs, NC
National Provider Identifier
1750819611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17178
- Practice address
- 251 W Center St
Holly Springs, NC 27540-5900 - Phone
- (919) 577-9200
- NPI assigned
- May 23, 2017
- Sex
- Male
- 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 | P17178 | NC | Primary |
Addresses
Primary practice location
251 W Center St
Holly Springs, NC 27540-5900
Mailing address
251 W Center St
Holly Springs, NC 27540-5900
Phone (919) 577-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17178 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1750819611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 W CENTER ST",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275405900",
"telephone_number": "919-577-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 W CENTER ST",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275405900",
"telephone_number": "919-577-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "BRETT",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.