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NPI Code Detail

MEDICARE: DR. CODY AARON WALKER PT, DPT, OTR/L, MOT

MEDICARE: DR. CODY AARON WALKER PT, DPT, OTR/L, MOT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT26262FL
2225X00000XOccupational TherapistOT15238FL

General Provider Information

NPI Number : 1316232804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CODY AARON WALKER PT, DPT, OTR/L, MOT
Provider Business Mailing Address
First Line : 4650 STATE ROAD 16
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32092-0600
Country : US
Telephone Number : 904-940-2193
Fax Number :
Provider Business Practice Location Address
First Line : 145 HERON BAY RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-3595
Country : US
Telephone Number : 904-470-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2011
Last Update Date : 06/28/2024

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