Active NPI
Tracey Leigh Walker, LMT
- Mechanotherapist
- Corvallis, OR
National Provider Identifier
1780902452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 10808
- Practice address
- 230 SW 3Rd St
Suite 211
Corvallis, OR 97333-4692 - Phone
- (541) 231-4341
- NPI assigned
- May 5, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 10808 | OR | Primary |
Addresses
Primary practice location
230 SW 3Rd St
Suite 211
Corvallis, OR 97333-4692
Mailing address
338 Marlon St
Philomath, OR 97370-9218
Phone (541) 231-4341
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10808 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1780902452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 MARLON ST",
"city": "PHILOMATH",
"state": "OR",
"postal_code": "973709218",
"telephone_number": "541-231-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 SW 3RD ST",
"address_2": "SUITE 211",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334692",
"telephone_number": "541-231-4341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TRACEY",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "10808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.