Individual provider Active NPI

Janna R Walker, P.T.

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1770815367
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6933 Issued in CO
Practice address
802 W Drake Rd
Suite 133
Fort Collins, CO 80526-5558
Phone
(970) 494-6449
Fax
(970) 494-6447
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6933 CO Primary

Addresses

Primary practice location

802 W Drake Rd
Suite 133
Fort Collins, CO 80526-5558

Mailing address

802 W Drake Rd
Suite 133
Fort Collins, CO 80526-5558
Phone (970) 494-6449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260423002654 CO Practitioner - Physical Therapist in Private Practice 2466929781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mayo Medical School, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1136 E Stuart St
Suite 2120
Fort Collins, CO 80525-1197

3515 Wild View Dr
Fort Collins, CO 80528-7047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6933COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Therapy Systems Physical Therapist Past Accepting new patients
Front Range Therapy Systems, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1770815367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W DRAKE RD",
            "address_2": "SUITE 133",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265558",
            "telephone_number": "970-494-6449",
            "fax_number": "970-494-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W DRAKE RD",
            "address_2": "SUITE 133",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265558",
            "telephone_number": "970-494-6449",
            "fax_number": "970-494-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JANNA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.