Jonathan Walter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12929 Issued in NC

Practice address

2059 Torredge Rd
Durham, NC 27712-1767

Phone

(919) 620-0581

NPI assigned

Dec 3, 2010

Sex

Male

Sole proprietor

Yes

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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Youthful Horizons Physical Therapy P SGroup PAC ID 2062301468, 5 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.

• Youthful Horizons Physical Therapy P S

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1699823898
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1770885279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 ARNETTE AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013114",
            "telephone_number": "509-475-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 TORREDGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121767",
            "telephone_number": "919-620-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Walsh, M.D.
• Sarah Lauren Walsh, PA-C
• Barbara Keith Walter, PHD
• Emmanuel Benjamin Walter, M.D.
• Jonathan Walter, M.D.
• Louisa Sloan Walter, MSW, LCSW
• Brecklyn Walters
• Crista Katherine Walters, PNP
• Deanna Lynne Walters, FNP-BC
• Frances Ellen Walters, PA-C

• Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.