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

Mr. Nicholas Ryan Walters, PA-C

Individual provider Athletic Trainer · NPI 1144284449

Mr. Nicholas Ryan Walters, PA-C is an Athletic Trainer in Palos Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7600 W College Dr
Palos Heights, IL 60463-1001
Phone: (708) 361-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.004177 (IL)
Athletic Trainer Taxonomy 2255A2300X · Licence 096-002105 (IL)

Record details

NPI number1144284449
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESFebruary 20, 2015

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