Active NPI
Anna Walker, RPT
- Physical Therapist
- Pell City, AL
National Provider Identifier
1902018864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH 2155
- Practice address
- 2811 Dr John Haynes Dr
Ste. 104
Pell City, AL 35125-1447 - Phone
- (205) 884-7202
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PTH 2155 | AL | Primary |
Addresses
Primary practice location
2811 Dr John Haynes Dr
Ste. 104
Pell City, AL 35125-1447
Mailing address
2811 Dr John Haynes Dr
Ste. 104
Pell City, AL 35125-1447
Phone (205) 884-7202
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-04741 | Other | AL | CFI BCBS |
| 515-34453 | Other | AL | MCE BCBS |
| 515-38642 | Other | AL | MCB BCBS |
| 510-93979 | Other | AL | SCR BCBS |
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 |
|---|---|---|---|
| PTH 2155 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902018864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 DR JOHN HAYNES DR",
"address_2": "STE. 104",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251447",
"telephone_number": "205-884-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 DR JOHN HAYNES DR",
"address_2": "STE. 104",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251447",
"telephone_number": "205-884-7202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH 2155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CFI BCBS",
"identifier": "510-04741",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCE BCBS",
"identifier": "515-34453",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCB BCBS",
"identifier": "515-38642",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCR BCBS",
"identifier": "510-93979",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pell City, AL
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.