Breanna Jordann Walker, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA9958 Issued in AL

Practice address

1220 Azalea Rd
Mobile, AL 36693-2859

Phone

(251) 607-6495

Fax

(888) 539-6550

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Balance and Rehabilitation, LLC

  • Physical Therapist
  • Mobile, AL
  • NPI 1902207236
  NPD

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1790374346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 AZALEA RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932859",
            "telephone_number": "251-607-6495",
            "fax_number": "888-539-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 AZALEA RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932859",
            "telephone_number": "251-607-6495",
            "fax_number": "888-539-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BREANNA",
        "middle_name": "JORDANN",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA9958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid)
• Abigale Taylor Walker
• Andrew B. Walker, MD
• Ann Marie Walker, MD
• April Walker
• Deborah Cooksey Walker, M.A.
• Howard S Walker, MD
• James L. Walker, M.D.
• Karen Denise Walker, OTR/L
• Kathy E. Walker, NP

• Physical Therapy Assistant in Mobile, AL
• Providers in Mobile, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.