Joshua Walters, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1325094 Issued in TX

Practice address

3141 E Broad St Ste 111
Mansfield, TX 76063-6425

Phone

(817) 435-5248

Fax

(817) 435-5249

NPI assigned

Aug 12, 2017

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Endeavor Rehab Center Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1760506232

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ideal Physical Therapy of Texas LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746

  Single Specialty

  Medicare reassignment NPD
• Endeavor Rehab Center Inc

  • Physical Therapist
  • Athens, TX
  • NPI 1548045156
  NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD
• Decatur Hospital Authority

  • Skilled Nursing Facility
  • Decatur, TX
  • NPI 1649722943
  NPD (past)
• Nto Physician Partners, PLLC

  • Orthopaedic Surgery Physician
  • Grapevine, TX
  • NPI 1114443181
  NPD (past)

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1952826893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SHAGBARK ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 E BROAD ST STE 111",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636425",
            "telephone_number": "817-435-5248",
            "fax_number": "817-435-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 SW 3rd St Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973331982",
            "country_code": "US",
            "telephone_number": "972-213-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JOSHUA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-12",
        "last_updated": "2021-08-02",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1325094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailee Ann Waller, M.S., CCC-SLP
• Walnut Creek Counseling PLLC
• Walnut Creek Residential Services, Inc.
• Walnut Ridge Orthodontics
• Kaylee Walston
• Jaden Wang, LAC
• Beth Wangombe
• Ward Precision Health
• Mahlon Ware, OTR
• Esther Wangari Warimwe, APRN

• Physical Therapist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.