Individual provider Active NPI

Gregory Thomas Walsh, D.C.

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1881820785
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10673 Issued in FL
Practice address
16880 McGregor Blvd Ste 102
Fort Myers, FL 33908-3833
Phone
(270) 556-6519
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5188 KY
Chiropractor 111N00000X CH 10673 FL Primary

Addresses

Primary practice location

16880 McGregor Blvd Ste 102
Fort Myers, FL 33908-3833

Mailing address

16880 McGregor Blvd Ste 102
Fort Myers, FL 33908-3833
Phone (270) 556-6519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000597 FL Practitioner - Chiropractic 6002960424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16880 McGregor Blvd
Suite 102
Fort Myers, FL 33908-3833
Phone (239) 472-0900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10673FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sanibel Chiropractic, LLC Chiropractor CurrentSince Jun 1, 2012 Accepting new patients
Walsh Chiropractic, PLLC Chiropractor Current Accepting new patients
Leeper Chiropractic Center Chiropractor Past Accepting new patients

Locations

16880 McGregor Blvd
Ste 102
Fort Myers, FL 33908
Phone (239) 395-5858

1640 Periwinkle Way
Ste 5
Sanibel, FL 33957
Phone (239) 472-0900

1456 Periwinkle Way
Unit C
Sanibel, FL 33957
Phone (239) 472-0900

229 S Friendship Rd
Paducah, KY 42003
Phone (270) 554-9637

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1881820785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16880 MCGREGOR BLVD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083833",
            "telephone_number": "270-556-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16880 MCGREGOR BLVD STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083833",
            "telephone_number": "270-556-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5188",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.