MR. MICHAEL WAYNE WALKER (PT/ATC) – Physical Therapist, NPI 1811082704
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
Provider Addresses for MR. MICHAEL WAYNE WALKER (PT/ATC)
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 320826600
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2627 Riverside Ave Ste 300
Jacksonville, FL 322044717
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2 Shircliff Way Ste 605
Jacksonville, FL 322044762
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
3055 County Road 210 W Ste 110
St Johns, FL 322597001
Phone: (904) 634-0640
Type: Location
4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 322238800
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
1690 US Highway 1 S Ste F
St Augustine, FL 320846024
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 322565004
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 322187274
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
3901 University Blvd S
Jacksonville, FL 322164312
Phone: (904) 858-7200
Fax: (904) 858-7240
Type: Location
216 Southpark Cir E Ste 216
St Augustine, FL 320865135
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 320034823
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
3901, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322164312
Phone: (904) 858-7200
Fax: (904) 858-7240
Type: Location
9131, Tejas Court, Jacksonville, Duval County, Florida, 32257, United States
JACKSONVILLE, FL 322578044
Phone: (904) 733-0377
Type: Mailing
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: 2023-06-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230612000617 | I | Physical Therapist In Private Practice | FL | TBD |
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.
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 32082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | FL | |
| Physical Therapist In Private Practice | FL | |
| C H I R O P R A C T I C | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| Orthopedic Surgery | FL |
Reviews
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