Active NPI
Beverly Appl Walsh, DPT
- Physical Therapist
- Westminster, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23375
- Practice address
- 511 Jermor LN
Suite 102
Westminster, MD 21157-6151 - Phone
- (410) 876-8076
- Fax
- (410) 876-3818
- NPI assigned
- Sep 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 294690 | CA | |
| Physical Therapist | 225100000X | 23375 | MD | Primary |
Addresses
Primary practice location
511 Jermor LN
Suite 102
Westminster, MD 21157-6151
Mailing address
1609 N Coalter St
Suite 102
Staunton, VA 24401-2552
Phone (540) 213-1320
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (877) 390-6659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1162 B Gorgas Ave
San Francisco, CA 94129-1406
Phone (415) 561-6655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294690 | CA | MD | Physical Therapist |
| 23375 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Presidio Sport & Medicine, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
1162B Gorgas Ave
San Francisco, CA 94129
Phone (415) 561-6655
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- San Francisco, CA
- NPI 1578565149
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1912214636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 N COALTER ST",
"address_2": "SUITE 102",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012552",
"telephone_number": "540-213-1320",
"fax_number": "540-213-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 JERMOR LN",
"address_2": "SUITE 102",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576151",
"telephone_number": "410-876-8076",
"fax_number": "410-876-3818"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "877-390-6659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "BEVERLY",
"middle_name": "APPL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294690",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.