MERRITT WALKER – Physical Therapist, NPI 1063375780

MERRITT WALKER is a healthcare provider. based in San anselmo, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 309030 (CA). The NPI Number for MERRITT WALKER is 1063375780

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MERRITT WALKER
NPI
1063375780
Phone
(415) 457-4454
Address
220 GREENFIELD AVE
Enumeration Date
9 December 2025
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154574454
Graduation Year
2018 (8 years ago)
PAC ID
8729565759
Group Practice PAC ID
4981617180
Professional Enrollment ID
I20260121003826
Address ID
CA949602416SA220XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MERRITT WALKER

  • 220 GREENFIELD AVE

    SAN ANSELMO, CA 949602416

    Phone: (415) 457-4454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260121003826IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94960)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981617180View full group profile
NameSpecialtyState
-CA
-CA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-FL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to MERRITT WALKER?
NPI 1063375780 is assigned to MERRITT WALKER under the national enumeration system.
Is MERRITT WALKER active in the national directory?
MERRITT WALKER's public NPI profile is in an active state.
What kind of provider is MERRITT WALKER?
The page reflects Physical Therapist for MERRITT WALKER. Clinical services aligned with this taxonomy classification.
Where does public data place MERRITT WALKER?
The snapshot lists San Anselmo, California for MERRITT WALKER; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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