Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Wallace Walter, PTA

Individual provider Physical Therapy Assistant · NPI 1235469925

Derek Wallace Walter, PTA is a Physical Therapy Assistant in Syracuse, New York. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1603 Court St
Syracuse, NY 13208-1834
Phone: (315) 455-7591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1235469925
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 4, 2010
Last updated in NPPESJanuary 4, 2010
Mailing address1603 Court St, Syracuse, NY 13208-1834

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