ADDISON WALTER – Physical Therapist, NPI 1265170005

ADDISON WALTER is a healthcare provider. based in Dallas, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 3128421 (TX). The NPI Number for ADDISON WALTER is 1265170005

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ADDISON WALTER
NPI
1265170005
Phone
(214) 630-2331
Address
2920 N Stemmons Fwy
Enumeration Date
23 May 2022
Last Update Date
15 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4694963992
Graduation Year
2022 (4 years ago)
PAC ID
6901271626
Group Practice PAC ID
0547583809
Professional Enrollment ID
I20230412000466
Address ID
TX750673468LE1288XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for ADDISON WALTER

  • 2920 N Stemmons Fwy

    Dallas, TX 752476103

    Phone: (214) 630-2331

    Type: Location

  • 414 WIND WOOD DR

    LEWISVILLE, TX 750676534

    Phone:

    Type: Mailing

  • 2920 N STEMMONS FWY

    DALLAS, TX 752476103

    Phone: (214) 630-2331

    Type: Location

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (866) 370-8206

    Fax: (517) 435-3670

    Type: Mailing

  • 1288 W MAIN ST STE 148

    LEWISVILLE, TX 750673468

    Phone: (469) 496-3992

    Fax: (972) 845-7419

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-04-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230412000466IPhysical 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
97530Therapy procedure using functional activities57747$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes31145$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16126$0
97140Therapy procedure using manual technique, each 15 minutes5020$0
97163Evaluation for physical therapy, typically 45 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 75247)

Loading plans...

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: 0547583809View full group profile
NameSpecialtyState
-IL
Occupational Therapist In Private PracticeTX
-IL
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeIL
-TN
-TX
-TX
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is ADDISON WALTER's NPI number?
ADDISON WALTER's NPI is 1265170005 — the number used across U.S. healthcare to identify this provider.
Is ADDISON WALTER still an active registrant?
ADDISON WALTER carries an active NPI according to the public dataset.
What expertise is attributed to ADDISON WALTER?
ADDISON WALTER's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ADDISON WALTER located near Dallas?
ADDISON WALTER currently maps to Dallas, Texas in this extract.
Can I trust this NPI listing for ADDISON WALTER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

17817 DAVENPORT RE., STE. 230
NPI: 1740282052

ALLEN TYLER NANCE (P.T.)

Physical Therapist
8823 PRODUCTION LN
NPI: 1124023197

Vista Physical Therapy

Physical Therapist
11661, Preston Road, Dallas, Dallas County, Texas, 75248, United States
NPI: 1760479760

ROBERT BRIAN HADEN (P.T.)

Physical Therapist
Eldorado Parkway, McKinney, Collin County, Texas, 75069, United States
NPI: 1417944422

KRISTEN B. WALTON (P.T.)

Physical Therapist
910, Hills Creek Drive, McKinney, Collin County, Texas, 75072, United States
NPI: 1063409100

ALAN THOMPSON (P.T.)

Physical Therapist
910, Hills Creek Drive, McKinney, Collin County, Texas, 75072, United States
NPI: 1588651640

JAMES LEWIS (P.T.)

Physical Therapist
5100 W ELDORADO PKWY STE 102
NPI: 1275520272

Vista Physical Therapy

Physical Therapist
Eldorado Parkway, McKinney, Collin County, Texas, 75072, United States
NPI: 1033106984

Hanger Clinic

Durable Medical Equipment & Medical Supplies
East La Palma Avenue, Anaheim, Orange County, California, 92807, United States
NPI: 1568450880