MR. WALTER G JR. SHULL (PT) – Physical Therapist, NPI 1083691323

MR. WALTER G JR. SHULL (PT) is a healthcare provider. based in Corpus christi, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT182006 (TX). The NPI Number for MR. WALTER G JR. SHULL (PT) is 1083691323

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. WALTER G JR. SHULL (PT)
NPI
1083691323
Phone
(361) 225-2539
Address
4646 CORONA DR
Enumeration Date
28 December 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3612252539
Graduation Year
1992 (34 years ago)
PAC ID
9931151636
Group Practice PAC ID
2769434463
Professional Enrollment ID
I20050210000590
Address ID
TX784114396CO4646XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for MR. WALTER G JR. SHULL (PT)

  • 4646, Corona Drive, Corpus Christi, Nueces County, Texas, 78411, United States

    STE 130

    CORPUS CHRISTI, TX 78411

    Phone: (361) 225-2539

    Fax: (361) 225-0851

    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: 2005-02-10

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
I20050210000590IPhysical Therapist In Private PracticeTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,38551$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes80857$0
97140Therapy procedure using manual technique, each 15 minutes60741$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care23830$0
97116Therapy procedure for walking training, each 15 minutes16218$0
View full utilization report →

Insurance plans in this area (ZIP 78411)

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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: 2769434463View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX

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Frequently asked questions

Can I cross-check MR. WALTER G JR. SHULL (PT) using NPI 1083691323?
NPI 1083691323 belongs to MR. WALTER G JR. SHULL (PT); compare other details if you need extra assurance.
Is MR. WALTER G JR. SHULL (PT) shown as active in public data?
Registry records indicate MR. WALTER G JR. SHULL (PT) maintains an active NPI.
What kind of doctor is MR. WALTER G JR. SHULL (PT)?
MR. WALTER G JR. SHULL (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. WALTER G JR. SHULL (PT)?
Directory geography for MR. WALTER G JR. SHULL (PT) centers on Corpus Christi, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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