Alice D Walter, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT00000660 Issued in WA

Practice address

6007 119TH Ave E
Puyallup, WA 98372-2830

Phone

(253) 848-9769

Fax

(253) 445-1250

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1811006562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 INTERLAAKEN DR SW APT L",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984985402",
            "telephone_number": "253-381-3431",
            "fax_number": "253-445-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 119TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983722830",
            "telephone_number": "253-848-9769",
            "fax_number": "253-445-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "ALICE",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PT00000660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR AND INDUSTRIES",
            "identifier": "0191258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C. Walling, LMHC, CEAP, SAP
• Rebecca L Walls, L.M.P.
• Walmart Inc.
• Walmart Inc.
• Douglas Terry Walsh
• Nicole Walton
• Ann Sheila Wambui
• Ivy Wambui
• Alysia Rebecca Wang
• Charles E Wang, MD

• Specialist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.