Active NPI
Joseph Walsh, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1902230873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18370
- Practice address
- 5960 Fairview Rd Ste 250
Charlotte, NC 28210-0199 - Phone
- (980) 224-7958
- Fax
- (980) 224-7973
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 40QA01515000 | NJ | |
| Physical Therapist | 225100000X | 18370 | VA | Primary |
Addresses
Primary practice location
5960 Fairview Rd Ste 250
Charlotte, NC 28210-0199
Mailing address
605 Main St
Hackensack, NJ 07601-5914
Phone (201) 488-0488
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 |
|---|---|---|---|
| 18370 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1902230873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076015914",
"telephone_number": "201-488-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5960 FAIRVIEW RD STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100199",
"telephone_number": "980-224-7958",
"fax_number": "980-224-7973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01515000",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "18370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.