Active NPI
Gene A Walker
- Physical Therapist
- Scottsboro, AL
National Provider Identifier
1871796110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH4847
- Practice address
- 1402 County Park Rd
Ste. 5
Scottsboro, AL 35769-3967 - Phone
- (256) 574-4208
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH4847 | AL | Primary |
Addresses
Primary practice location
1402 County Park Rd
Ste. 5
Scottsboro, AL 35769-3967
Mailing address
1907 Wayne Cir
South Pittsburg, TN 37380
Phone (423) 837-0723
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 |
|---|---|---|---|
| PTH4847 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Associates, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Champion Sports Medicine
- Physical Therapy Clinic/Center
- Jasper, AL
- NPI 1033886486
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871796110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 WAYNE CIR",
"city": "SOUTH PITTSBURG",
"state": "TN",
"postal_code": "37380",
"telephone_number": "423-837-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 COUNTY PARK RD",
"address_2": "STE. 5",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357693967",
"telephone_number": "256-574-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "GENE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsboro, AL
- Vyshali Reddy Loupe, MD, LLC
- William Waddell, PHARMD
- Stephanie S Wagener, M.A.
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0712)
- Wal-Mart Stores East, LP (Vision Center 30-0712)
- Kerry Dale Walker, CRNP
- Tony Benton Wallingsford, HIS
- Laura C Walls, FNP-C
- Elizabeth Fay Wasylow
- Lindsey Watkins, PHARM. D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.