Jennifer Diane Walsh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21780 Issued in MD

Practice address

2304 E Churchville Rd
Bel Air, MD 21015-1721

Phone

(410) 734-6556

Fax

(410) 734-6557

NPI assigned

Sep 20, 2006

Last updated

Oct 21, 2008By the provider in NPPES

Sex

Female

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 MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Medicare reassignment NPD
• Carroll Sports Rehabilitation and Physical Therapy, LLC

  dba Agape Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1366457095
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1942308333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210500179",
            "telephone_number": "410-734-6556",
            "fax_number": "410-734-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151721",
            "telephone_number": "410-734-6556",
            "fax_number": "410-734-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamesa Walker
• Joseph Benjamin Walker III, CRNA
• Mary Amelia Walker, CRNP
• Shuriah Wallace
• Jonathan Wallender, DPT
• Rebecca Rina Walter, DDS
• Linda O. Wanaba, COTA
• Donghua Wang, PA-C
• Tam Warczynski, C.R.N.P.
• Alicia Garcia Ward, CRNA

• Physical Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.