Zachary David Walsh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5172 Issued in AR

Practice address

5602 Richmond Rd Ste 106
Texarkana, TX 75503-0877

Phone

(903) 794-0333

NPI assigned

Jun 2, 2023

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Pleasant Physical Therapy PCGroup PAC ID 7315985694, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mount Pleasant Physical Therapy PC

  • Physical Therapist
  • New Boston, TX
  • NPI 1366497570
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1760175822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 RICHMOND RD STE 106",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 RICHMOND RD STE 106",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030877",
            "telephone_number": "903-794-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Center St",
            "address_purpose": "LOCATION",
            "city": "New Boston",
            "state": "TX",
            "postal_code": "755702918",
            "country_code": "US",
            "telephone_number": "903-660-5679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Kings Hwy Ste 2&3",
            "address_purpose": "LOCATION",
            "city": "Wake Village",
            "state": "TX",
            "postal_code": "755015752",
            "country_code": "US",
            "telephone_number": "903-794-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ZACHARY",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreens Pharmacy
• Casey L Walker
• Sade Monchique Walker
• William Todd Wallace, PT
• Cody Lee Walls, ATC, LAT, EMT
• Melissa Anne Ward-George, LPC
• Michael Layne Ward, DDS
• Robert Lloyd Ward, RPH
• Tammy Ward, CRNA
• Tracey Suzanne Ward, CRNA

• Physical Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.