Glenn Roderick Walker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4643 Issued in AL

Practice address

833 Saint Vincents Dr Ste 200
Birmingham, AL 35205-1609

Phone

(205) 939-0447

NPI assigned

Sep 2, 2006

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Louisville School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.04 of 100Reported as group

Quality

90

Improvement activities

40

Cost

71.81

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ati Holdings of Alabama, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Lincoln, AL
  • NPI 1063952646
  Medicare reassignment Care Compare group NPD
• Orthosports Associates LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Birmingham, AL
  • NPI 1114226438
  Medicare reassignment NPD
• Orthosports Associates LLC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1700519600
  NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1902908882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051609",
            "telephone_number": "205-939-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Old Montgomery Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352441677",
            "country_code": "US",
            "telephone_number": "205-982-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GLENN",
        "middle_name": "RODERICK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Grace Walker
• Earl Newton Walker IV, MD
• Ella Brannen Walker
• Gabriella Walker, MD
• George Philips Walker IV, M.D.
• Harrison Walker
• Herbert Peyton Walker Jr., M.D.
• James Walker
• Jeremey Walker, MD
• Jimmie Walker Jr., D.M.D.

• Physical Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.