JOSEPH R. WALLER (P.T.) – Physical Therapist, NPI 1689618852

JOSEPH R. WALLER (P.T.) is a healthcare provider. based in Appleton, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 6231-024 (WI). The NPI Number for JOSEPH R. WALLER (P.T.) is 1689618852

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH R. WALLER (P.T.)
NPI
1689618852
Phone
(920) 257-2005
Address
4000 N PROVIDENCE AVE
Enumeration Date
16 June 2006
Last Update Date
27 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207794441
Graduation Year
1999 (27 years ago)
PAC ID
2264476621
Group Practice PAC ID
6901869411
Professional Enrollment ID
I20050616000148
Address ID
WI549449451HO315XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for JOSEPH R. WALLER (P.T.)

  • North Providence Avenue, Appleton, Outagamie County, Wisconsin, United States

    APPLETON, WI 549138018

    Phone: (920) 257-2005

    Fax: (920) 257-2004

    Type: Mailing

  • Apple Tree Lane, Town of Waupaca, Waupaca County, Wisconsin, 54981, United States

    WAUPACA, WI 549817580

    Phone: (715) 256-0358

    Fax: (715) 256-0393

    Type: Location

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: 2005-06-16

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
I20050616000148IPhysical Therapist In Private PracticeWITBD

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
97140Therapy procedure using manual technique, each 15 minutes42519$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20519$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15415$0
97530Therapy procedure using functional activities8920$0
97162Evaluation for physical therapy, typically 30 minutes1916$0
View full utilization report →

Insurance plans in this area (ZIP 54913)

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Provider's Procedures

JOSEPH R. WALLER (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWI97001Physical therapy evaluation3831
PHYSICAL THERAPYWI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes59535

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: 6901869411View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
-WI

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Frequently asked questions

Where can patients find JOSEPH R. WALLER (P.T.)'s NPI?
You can confirm JOSEPH R. WALLER (P.T.) with NPI 1689618852; it appears in the national provider directory.
Does this profile mean JOSEPH R. WALLER (P.T.) is currently active?
Yes — JOSEPH R. WALLER (P.T.) appears active in the national provider directory.
What kind of provider is JOSEPH R. WALLER (P.T.)?
The page reflects Physical Therapist for JOSEPH R. WALLER (P.T.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JOSEPH R. WALLER (P.T.)?
The page summarizes Appleton, Wisconsin for JOSEPH R. WALLER (P.T.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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