Physician Compare National (NPI:1669996112)

HEALTHCARE PROVIDER: MELODY LEIGHTON WALKUP DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669996112
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890126171
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200521000894
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WALKUP
	Individual professional last name
Provider First Name	MELODY
	Individual professional first name
Provider Middle Name	LEIGHTON
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1112 SPRUCE FLAT RD
	Group Practice or individual's line 1 address
City	BUCKEYE
	Group Practice or individual's city
State	WV
	Group Practice or individual's state
Zip Code	249249010
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3043764506
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y