Zachary E Walston, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011588 Issued in GA

Practice address

4849 S Cobb Dr SE
Suite 121
Smyrna, GA 30080-7145

Phone

(866) 464-3878

Fax

(334) 396-4905

NPI assigned

Sep 23, 2014

Last updated

Sep 23, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• PT Solutions of Acworth, LLC

  • Physical Therapist
  • Smyrna, GA
  • NPI 1548662588
  NPD (past)
• PT Solutions of Acworth, LLC

  • Physical Therapist
  • Watkinsville, GA
  • NPI 1679025167
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1922400704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242278",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242278",
            "telephone_number": "334-396-3273",
            "fax_number": "334-396-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 S COBB DR SE",
            "address_2": "SUITE 121",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807145",
            "telephone_number": "866-464-3878",
            "fax_number": "334-396-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSTON",
        "first_name": "ZACHARY",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameka Walker-Blake, M.D.
• Amber Walker
• Bianca Walker, LPC
• Sonya Coutee Wallace, WHNP-BC
• Kelly L Walsh
• Rachel Walters, LCSW
• Ashunti Prinche' Walton, OTR/L
• Phylicia Ware, OTR/L
• Mohammed Waris, M.D.
• Tatiana Michelle Warman

• Physical Therapist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.