MR. MICHAEL ANTHONY WALTERS JR. (NPI# 1699388868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699388868 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANTHONY WALTERS JR. |
| Credential | ATC, LAT |
| Practice Address |
170 Kimel Park Dr Winston Salem NC 27103-6946 |
| Mailing Address |
1055 Fallbrook Ln Lewisville NC 27023-8628 |
| Practice Telephone | 3367657058 |
| Mailing Telephone | 3366244368 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-4187 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518472596 | Michael Walters | Registered Nurse | 241 Ravine Bluff Dr, Newark, OH 43055-9212 | 2017-12-12 |
| 1629034475 | Michael A Walters | Physical Therapist | 1439 Swan Ln, Mullica Hill, NJ 08062-3246 | 2006-04-21 |
| 1891359790 | Michael Walters | Student in an Organized Health Care Education/Training Program | Cleveland Clinic 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2019-04-25 |
| 1538602032 | Michael Walters | Respiratory Therapist, Registered | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2016-12-01 |
| 1801346671 | Michael Walters | Counselor | 70 S River St, Aurora, IL 60506-5185 | 2016-10-05 |
| 1316497043 | Michael Walters | Social Worker | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2016-10-05 |
| 1427507599 | Michael Walters | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2016-09-29 |
| 1962768341 | Michael John Walters | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2012-04-10 |
| 1942582648 | Michael Joe Walters | Pharmacist | 1323 N Baldwin Ave, Marion, IN 46952-1913 | 2011-09-19 |
| 1366760852 | Michael Richard Walters | Physical Therapist | 1901 Randolph Rd, Charlotte, NC 28207-1101 | 2010-05-10 |
| Street Address |
170 KIMEL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849047 | William Bryan Jennings | Orthopaedic Surgery | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2005-05-26 |
| 1548884992 | Ryan Dula | Occupational Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2020-06-02 |
| 1154957983 | Jennifer Baity Hill | Physical Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2020-03-12 |
| 1053879502 | Dylan Thomas Plocki | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2019-03-04 |
| 1669939526 | Katherine A Tully | Physical Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2019-02-27 |
| 1073007373 | Ann Steber | Occupational Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-06-20 |
| 1336633106 | Mark Stephen Phillips | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-06-15 |
| 1730676081 | Michael Edward Arcuri | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-04-21 |
| 1205341419 | Katlyn Marie Joyner | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2017-12-11 |
| 1366996621 | Todd Louis Carrigan | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2016-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654090 | Elizabeth Louise Watson | Specialist/Technologist | 257 Holmes Dr, Winston Salem, NC 27127-9150 | 2018-06-27 |
| 1215444690 | Margaret Elizabeth Vaughn | Specialist/Technologist | 5813 Luxbury Ct, Winston Salem, NC 27104-3374 | 2018-01-06 |
| 1750817524 | Stephen White | Specialist/Technologist | 5304 Quail Wood Dr Apt H, Winston Salem, NC 27104-5505 | 2017-05-11 |
| 1255718904 | John Kober | Specialist/Technologist | 1109 Stafford Place Cir Apt 302, Winston Salem, NC 27127-6884 | 2015-05-01 |
| 1629472667 | Stephen Andrews | Specialist/Technologist | 2054 Craig St, Winston Salem, NC 27103-2613 | 2014-10-20 |
| 1417361882 | Matthew Fortune | Specialist/Technologist | 5705 Shattalon Dr, Winston Salem, NC 27105-1332 | 2014-06-13 |
| 1902220379 | John Lavender | Specialist/Technologist | 1250 S Martin Luther King Jr Dr, Winston Salem, NC 27107-1370 | 2014-02-06 |
| 1932522992 | Kathryn Martin | Specialist/Technologist | 3545 Carver School Rd, Winston Salem, NC 27105-4033 | 2014-01-28 |
| 1093138307 | Jeremy S Miller | Specialist/Technologist | 3507 Midway School Rd, Winston Salem, NC 27107-8741 | 2014-01-23 |
| 1780824565 | Sarah Muslim | Specialist/Technologist | 1835 Legacy Park Apt 304, Winston Salem, NC 27103-5792 | 2009-03-06 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on MR. MICHAEL ANTHONY WALTERS JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.