Joanne R Walkup, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1204 Issued in OK

Practice address

1024 NW 47TH St
Oklahoma City, OK 73118-6400

Phone

(405) 650-9405

Fax

(405) 606-2008

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1972645836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 OLD ORCHARD LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323902",
            "telephone_number": "405-722-9736",
            "fax_number": "405-722-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NW 47TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186400",
            "telephone_number": "405-650-9405",
            "fax_number": "405-606-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKUP",
        "first_name": "JOANNE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OK",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "100645000D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100645000A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "1972645836",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1972645836",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamica Lorraine Walker
• Tanja Walker
• Terrance R Walker
• Timmothy Daniel Cleburn Walker, DDS
• Tracey L Walker, C.N.S.
• Steve C. Walkup, P.A.
• Casie Shay Wall, APRN, FNP-C
• James Frank Wall, MD
• Jesse Wall
• Madison Wall

• Pediatric Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.