Active NPI
Eric Walz, DPT
- Physical Therapist
- Burbank, CA
National Provider Identifier
1780132159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291990
- Practice address
- 303 N Glenoaks Blvd Ste 200
Burbank, CA 91502 - Phone
- (818) 823-6621
- Fax
- (818) 356-4380
- NPI assigned
- Sep 14, 2016
- Last updated
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 291990 | CA | Primary |
Addresses
Primary practice location
303 N Glenoaks Blvd Ste 200
Burbank, CA 91502
Mailing address
303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118
Phone (818) 823-6621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291990 | CA | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Physical Therapists
- Physical Therapist
- Burbank, CA
- NPI 1346734308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1780132159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N GLENOAKS BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021118",
"telephone_number": "818-823-6621",
"fax_number": "818-483-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N GLENOAKS BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "91502",
"telephone_number": "818-823-6621",
"fax_number": "818-356-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALZ",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-14",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.