Active NPI
Daniel Hoyle Walden, DPT
- Physical Therapist
- Grass Valley, CA
National Provider Identifier
1881066819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297910
- Practice address
- 102 Catherine LN Ste a
Grass Valley, CA 95945-5701 - Phone
- (530) 478-1933
- Fax
- (530) 478-1937
- NPI assigned
- Oct 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11898 | AZ | |
| Physical Therapist | 225100000X | PT297910 | CA | Primary |
Addresses
Primary practice location
102 Catherine LN Ste a
Grass Valley, CA 95945-5701
Mailing address
102 Catherine LN Ste a
Grass Valley, CA 95945-5701
Phone (530) 478-1933
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT297910 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | 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.
-
- Physical Therapy Clinic/Center
- Atascadero, CA
- NPI 1225046824
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1881066819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CATHERINE LN STE A",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455701",
"telephone_number": "530-478-1933",
"fax_number": "530-478-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CATHERINE LN STE A",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455701",
"telephone_number": "530-478-1933",
"fax_number": "530-478-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "DANIEL",
"middle_name": "HOYLE",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-29",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11898",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.