Tiffany Walker, DPT

Individual provider Active NPI Physical Therapist · Dos Palos, CA

NPI 1962787036 · NPPES record last updated Oct 20, 2011

Key facts

NPI
1962787036
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT37299 (CA)
Practice address
2138 Marguerite St
Dos Palos, CA 93620-2351
Phone
(209) 392-8830
Fax
(209) 392-8830
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
37299CAMDCounselor
PT37299CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Physical Therapy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37299 CA Yes

Addresses

Primary practice location

2138 Marguerite St
Dos Palos, CA 93620-2351

Mailing address

2138 Marguerite St
Dos Palos, CA 93620-2351
Phone (209) 392-8830

Other providers in Dos Palos, CA

All providers in Dos Palos, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.