Individual provider Active NPI

Mark C Walker, PHD, PT

  • Physical Therapist
  • Springville, UT
National Provider Identifier
1881770840
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
114536-2401 Issued in UT
Practice address
655 E 400 S
Suite G
Springville, UT 84663
Phone
(801) 787-0484
NPI assigned
Oct 31, 2006
Last updated
Dec 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 114536-2401 UT Primary

Addresses

Primary practice location

655 E 400 S
Suite G
Springville, UT 84663

Mailing address

771W 450 S a
Springville, UT 84663-2222
Phone (801) 704-9405

Other names 1

  • Mark C Walker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108001155 UT Practitioner - Physical Therapist in Private Practice 2466350442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Physical Therapy, Inc. Physical Therapist CurrentSince Feb 5, 1999 Accepting new patients
Align Physical Therapy and Sports Medicine, LLC PastSince Oct 1, 2003 Accepting new patients
Professional Therapy and Rehabilitation LLC Physical Therapist PastSince Apr 1, 1995 Accepting new patients

Locations

147 W 400 N
Orem, UT 84057
Phone (801) 221-9060

487 E 1000 S
Ste B
Pleasant Grove, UT 84062
Phone (801) 922-4201

655 E 400 S
Ste G
Springville, UT 84663
Phone (801) 704-9405

771 W 450 S
Ste A
Springville, UT 84663
Phone (801) 704-9405

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1881770840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771W 450 S A",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632222",
            "telephone_number": "801-704-9405",
            "fax_number": "801-704-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 400 S",
            "address_2": "SUITE G",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "801-787-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "PHD, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "114536-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "WALKER",
            "middle_name": "C",
            "credential": "PHD, PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.