Debra Ann Walden, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

19219 Issued in FL

Practice address

15160 N Pebble LN
Fort Myers, FL 33912-2335

Phone

(239) 267-2432

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By 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

Other names 1

• Ms. Debra Ann Walden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1841432218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15160 N PEBBLE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339122335",
            "telephone_number": "239-267-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15160 N PEBBLE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339122335",
            "telephone_number": "239-267-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "19219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "WALDEN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-5321)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0987)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-5347)
• Wal-Mart Stores East, LP (Vision Center 30-5034)
• Wal-Mart Stores East, LP (Vision Center 30-0987)
• Carissa Waldner
• Walgreen Co (Walgreens #12722)
• Walgreen Co (Walgreens #07085)
• Walgreen Co (Walgreens #03356)
• Walgreen Co (Walgreens #11535)

• Physical Therapy Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.