MEDICARE: MR. PATRICK WALKER P.T., C.S.C.S

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
1	225100000X	Physical Therapist	PT016048	PA
2	225100000X	Physical Therapist	J1-0001811	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3015873	OTHER	DE	HIGHMARK
3	3915382000	OTHER	PA	IBC
4	50132206	OTHER	PA	CAPITAL BC
5	3015873	OTHER	PA	HIGHMARK
6	AC44-0062	OTHER	DE	CAREFIRST
7	3930195000	OTHER	DE	AMERIHEALTH (IBC)
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356779268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK WALKER P.T., C.S.C.S

Provider Business Mailing Address
First Line	:	1311 MAMARONECK AVE STE 140
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-5224
Country	:	US
Telephone Number	:	914-294-4050
Fax Number	:	631-760-8306

Provider Business Practice Location Address
First Line	:	2714 PHILADELPHIA PIKE # A
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2568
Country	:	US
Telephone Number	:	302-408-7310
Fax Number	:	302-416-4817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2013
Last Update Date	:	09/06/2023

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