Individual provider Active NPI

Philip David Walbright, P.T., D.P.T.

  • Physical Therapist
  • Coldwater, MI
National Provider Identifier
1902185044
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015679 Issued in MI
Practice address
410 N Willowbrook Rd
Coldwater, MI 49036-9462
Phone
(517) 279-7887
Fax
(517) 279-6527
NPI assigned
Aug 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 5501015679 MI Primary

Addresses

Primary practice location

410 N Willowbrook Rd
Coldwater, MI 49036-9462

Mailing address

410 N Willowbrook Rd
Coldwater, MI 49036-9462
Phone (517) 279-7887

Other practice location 1

480 Olds St
Jonesville, MI 49250-9433
Phone (517) 849-7040

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

LicenseStateTypeSpecialty
5501015679MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1902185044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369462",
            "telephone_number": "517-279-7887",
            "fax_number": "517-279-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369462",
            "telephone_number": "517-279-7887",
            "fax_number": "517-279-6527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Olds St",
            "address_purpose": "LOCATION",
            "city": "Jonesville",
            "state": "MI",
            "postal_code": "492509433",
            "country_code": "US",
            "telephone_number": "517-849-7040",
            "fax_number": "517-990-6212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALBRIGHT",
        "first_name": "PHILIP",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.