Aisha Leda Walls

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

39371 Issued in CA

Practice address

846 S Dora St
Ukiah, CA 95482-5711

Phone

(707) 462-9784

NPI assigned

Feb 18, 2020

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Loving Life Physical Therapy and Wellness, Inc.

  • Physical Therapist
  • Ukiah, CA
  • NPI 1104601921
  Medicare reassignment Authorized official
• Mendocino Physical Therapy

  • Physical Therapy Clinic/Center
  • Ukiah, CA
  • NPI 1265155949

  Orthopedic

  Medicare reassignment NPD

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1831722875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MEADOW DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823670",
            "telephone_number": "818-621-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825711",
            "telephone_number": "707-462-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "AISHA",
        "middle_name": "LEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "39371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Wakeman, RPH
• James Walangitan, DO
• Walgreen Co
• Elizabeth Marie Walker
• Mira Walker, MFT
• Walmart
• Walmart Inc.
• Faith Walrath
• Samuel G Walsh
• Wendy M Walsh

• Orthopedic Physical Therapist in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.