NPI Code Detail JSON Logo

1316594435 NPI number — JON WALKER PT,DPT

NPI Number: 1316594435
Health Care Provider/Practitioner: JON WALKER PT,DPT

Information about “1316594435” NPI (JON WALKER PT,DPT) exists in 1316594435 in HTML format HTML  |  1316594435 in plain Text format TXT  |  1316594435 in PDF (Portable Document Format) PDF  |  1316594435 in an XML format XML  formats.

NPI Number : 1316594435 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316594435",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "JON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT,DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6702 W POLY WEBB RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76016-3615",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-478-0095",
    "MailingAddressFaxNumber": "817-478-7628",
    "FirstLinePracticeLocationAddress": "6702 W POLY WEBB RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76016-3615",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-478-0095",
    "PracticeLocationAddressFaxNumber": "817-478-7628",
    "EnumerationDate": "08/22/2019",
    "LastUpdateDate": "07/12/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "1323550",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "261QR0401X",
          "TaxonomyName": "Comprehensive Outpatient Rehabilitation Facility (CORF)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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