KYLE WALKER (PT) – Physical Therapist, NPI 1083168371

KYLE WALKER (PT) is a healthcare provider. based in Villa rica, Georgia. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT012480 (GA). The NPI Number for KYLE WALKER (PT) is 1083168371

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KYLE WALKER (PT)
NPI
1083168371
Phone
(770) 456-7877
Address
2000 MIRROR LAKE BLVD
Enumeration Date
4 August 2016
Last Update Date
4 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704567877
Graduation Year
2016 (10 years ago)
PAC ID
4385930932
Group Practice PAC ID
8921109067
Professional Enrollment ID
I20160907001972
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for KYLE WALKER (PT)

  • Publix, 2000, Mirror Lake Boulevard, Villa Rica, Douglas County, Georgia, 30180-2124, United States

    VILLA RICA, GA 301802124

    Phone: (770) 456-7877

    Fax: (770) 456-7880

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 30180)

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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: 8921109067View full group profile
NameSpecialtyState
-GA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Is KYLE WALKER (PT) listed with a National Provider Identifier?
Yes — KYLE WALKER (PT) has NPI 1083168371 on file in the registry.
Is KYLE WALKER (PT) still an active registrant?
KYLE WALKER (PT) carries an active NPI according to the public dataset.
What clinical focus is listed for KYLE WALKER (PT)?
At a glance, KYLE WALKER (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is KYLE WALKER (PT) associated with Villa Rica?
Public fields place KYLE WALKER (PT) around Villa Rica, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KYLE WALKER (PT) is noted as August 4, 2016 where the registry provides it.

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