Active NPI
Kimberly Michele Walker, DPT
- Physical Therapist
- East Northport, NY
National Provider Identifier
1922201078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031098-1
- Practice address
- 4 Dartmoor Dr
East Northport, NY 11731-3612 - Phone
- (626) 354-0884
- NPI assigned
- Jun 7, 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 | 031098-1 | NY | Primary |
Addresses
Primary practice location
4 Dartmoor Dr
East Northport, NY 11731-3612
Mailing address
4 Dartmoor Dr
East Northport, NY 11731-3612
Phone (626) 354-0884
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 |
|---|---|---|---|
| 031098-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1922201078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DARTMOOR DR",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117313612",
"telephone_number": "626-354-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DARTMOOR DR",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117313612",
"telephone_number": "626-354-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "KIMBERLY",
"middle_name": "MICHELE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031098-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.